National Provider Identifier [NPI]: |
1588637870 |
Last Name Of The Provider |
HOPE |
First Name Of The Provider |
CHARLES |
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 |
210 E DERENNE AVE |
Street Address 2 Of The Provider |
|
City Of The Provider |
SAVANNAH |
Zip Code Of The Provider |
314056736 |
State Code Of The Provider |
GA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Orthopedic Surgery |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
73 |
Number Of Services |
7287 |
Number Of Medicare Beneficiaries |
1032 |
Total Submitted Charge Amount |
3234207.8 |
Total Medicare Allowed Amount |
723345.25 |
Total Medicare Payment Amount |
551537.06 |
Total Medicare Standardized Payment Amount |
581550.45 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
5 |
Number Of Drug Services |
3538 |
Number Of Medicare Beneficiaries With Drug Services |
268 |
Total Drug Submitted ChargeAmount |
35973 |
Total Drug Medicare AllowedAmount |
14250.89 |
Total Drug Medicare PaymentAmount |
11031.85 |
Total Drug Medicare Standardized Payment Amount |
11031.85 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
68 |
Number Of Medical Services |
3749 |
Number Of Medicare Beneficiaries With Medical Services |
1032 |
Total Medical Submitted Charge Amount |
3198234.8 |
Total Medical Medicare Allowed Amount |
709094.36 |
Total Medical Medicare Payment Amount |
540505.21 |
Total Medical Medicare Standardized Payment Amount |
570518.6 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
40 |
Number Of Beneficiaries Age 65 to 74 |
573 |
Number Of Beneficiaries Age 75 to 84 |
343 |
Number Of Beneficiaries Age Greater 84 |
76 |
Number Of Female Beneficiaries |
632 |
Number Of Male Beneficiaries |
400 |
Number Of Non Hispanic White Beneficiaries |
955 |
Number Of Black or African American Beneficiaries |
54 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
11 |
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
998 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
34 |
Percent Of With Atrial Fibrillation |
9 |
Percent Of With Alzheimers Disease or Dementia |
4 |
Percent Of With Asthma |
6 |
Percent Of With Cancer |
12 |
Percent Of With Heart Failure |
9 |
Percent Of With Chronic Kidney Disease |
13 |
Percent Of With Chronic Obstructive Pulmonary Disease |
9 |
Percent Of With Depression |
15 |
Percent Of With Diabetes |
20 |
Percent Of With Hyperlipidemia |
69 |
Percent Of With Hypertension |
69 |
Percent Of With Ischemic Heart Disease |
22 |
Percent Of With Osteoporosis |
6 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
75 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
3 |
Average HCC Risk Score Of Beneficiaries |
0.888 |