National Provider Identifier [NPI]: |
1164418893 |
Last Name Of The Provider |
FRAIPONT |
First Name Of The Provider |
MICHAEL |
Middle Initial Of The Provider |
J |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
800 S RAYMOND AVE |
Street Address 2 Of The Provider |
|
City Of The Provider |
PASADENA |
Zip Code Of The Provider |
911053229 |
State Code Of The Provider |
CA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Orthopedic Surgery |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
110 |
Number Of Services |
11827 |
Number Of Medicare Beneficiaries |
1339 |
Total Submitted Charge Amount |
2541407 |
Total Medicare Allowed Amount |
589837.71 |
Total Medicare Payment Amount |
446748.01 |
Total Medicare Standardized Payment Amount |
417370.32 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
7 |
Number Of Drug Services |
7863 |
Number Of Medicare Beneficiaries With Drug Services |
410 |
Total Drug Submitted ChargeAmount |
666122 |
Total Drug Medicare AllowedAmount |
230151.61 |
Total Drug Medicare PaymentAmount |
177423.28 |
Total Drug Medicare Standardized Payment Amount |
177423.28 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
103 |
Number Of Medical Services |
3964 |
Number Of Medicare Beneficiaries With Medical Services |
1138 |
Total Medical Submitted Charge Amount |
1875285 |
Total Medical Medicare Allowed Amount |
359686.1 |
Total Medical Medicare Payment Amount |
269324.73 |
Total Medical Medicare Standardized Payment Amount |
239947.04 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
62 |
Number Of Beneficiaries Age 65 to 74 |
672 |
Number Of Beneficiaries Age 75 to 84 |
441 |
Number Of Beneficiaries Age Greater 84 |
164 |
Number Of Female Beneficiaries |
830 |
Number Of Male Beneficiaries |
509 |
Number Of Non Hispanic White Beneficiaries |
1081 |
Number Of Black or African American Beneficiaries |
41 |
Number Of AsianPacific Islander Beneficiaries |
81 |
Number Of Hispanic Beneficiaries |
107 |
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
29 |
Number Of Beneficiaries With Medicare Only Entitlement |
1279 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
60 |
Percent Of With Atrial Fibrillation |
10 |
Percent Of With Alzheimers Disease or Dementia |
6 |
Percent Of With Asthma |
8 |
Percent Of With Cancer |
11 |
Percent Of With Heart Failure |
10 |
Percent Of With Chronic Kidney Disease |
15 |
Percent Of With Chronic Obstructive Pulmonary Disease |
9 |
Percent Of With Depression |
18 |
Percent Of With Diabetes |
24 |
Percent Of With Hyperlipidemia |
55 |
Percent Of With Hypertension |
63 |
Percent Of With Ischemic Heart Disease |
33 |
Percent Of With Osteoporosis |
12 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
75 |
Percent Of With Schizophrenia Other PsychoticDisorders |
2 |
Percent Of With Stroke |
4 |
Average HCC Risk Score Of Beneficiaries |
0.9888 |