National Provider Identifier [NPI]: |
1184697450 |
Last Name Of The Provider |
HYNES |
First Name Of The Provider |
RICHARD |
Middle Initial Of The Provider |
A |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
2222 S HARBOR CITY BLVD |
Street Address 2 Of The Provider |
SUITE 610 |
City Of The Provider |
MELBOURNE |
Zip Code Of The Provider |
329015594 |
State Code Of The Provider |
FL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Orthopedic Surgery |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
101 |
Number Of Services |
3531 |
Number Of Medicare Beneficiaries |
618 |
Total Submitted Charge Amount |
2543518 |
Total Medicare Allowed Amount |
1001560.93 |
Total Medicare Payment Amount |
766870.29 |
Total Medicare Standardized Payment Amount |
653742.42 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
6 |
Number Of Drug Services |
209 |
Number Of Medicare Beneficiaries With Drug Services |
32 |
Total Drug Submitted ChargeAmount |
2973 |
Total Drug Medicare AllowedAmount |
1086.02 |
Total Drug Medicare PaymentAmount |
846.16 |
Total Drug Medicare Standardized Payment Amount |
846.16 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
95 |
Number Of Medical Services |
3322 |
Number Of Medicare Beneficiaries With Medical Services |
618 |
Total Medical Submitted Charge Amount |
2540545 |
Total Medical Medicare Allowed Amount |
1000474.91 |
Total Medical Medicare Payment Amount |
766024.13 |
Total Medical Medicare Standardized Payment Amount |
652896.26 |
Average Age Of Beneficiaries |
68 |
Number Of Beneficiaries Age Less65 |
179 |
Number Of Beneficiaries Age 65 to 74 |
267 |
Number Of Beneficiaries Age 75 to 84 |
138 |
Number Of Beneficiaries Age Greater 84 |
34 |
Number Of Female Beneficiaries |
329 |
Number Of Male Beneficiaries |
289 |
Number Of Non Hispanic White Beneficiaries |
556 |
Number Of Black or African American Beneficiaries |
36 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
504 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
114 |
Percent Of With Atrial Fibrillation |
10 |
Percent Of With Alzheimers Disease or Dementia |
11 |
Percent Of With Asthma |
10 |
Percent Of With Cancer |
9 |
Percent Of With Heart Failure |
17 |
Percent Of With Chronic Kidney Disease |
22 |
Percent Of With Chronic Obstructive Pulmonary Disease |
21 |
Percent Of With Depression |
33 |
Percent Of With Diabetes |
32 |
Percent Of With Hyperlipidemia |
67 |
Percent Of With Hypertension |
72 |
Percent Of With Ischemic Heart Disease |
47 |
Percent Of With Osteoporosis |
17 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
75 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
1.3047 |