National Provider Identifier [NPI]: |
1275553208 |
Last Name Of The Provider |
GHIGIARELLI |
First Name Of The Provider |
CHRISTOPHER |
Middle Initial Of The Provider |
C |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
334 MAIN ST |
Street Address 2 Of The Provider |
STE 1 |
City Of The Provider |
DICKSON CITY |
Zip Code Of The Provider |
185191620 |
State Code Of The Provider |
PA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Orthopedic Surgery |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
77 |
Number Of Services |
9658 |
Number Of Medicare Beneficiaries |
640 |
Total Submitted Charge Amount |
563217.57 |
Total Medicare Allowed Amount |
249969.42 |
Total Medicare Payment Amount |
186647.2 |
Total Medicare Standardized Payment Amount |
189670.75 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
4 |
Number Of Drug Services |
7348 |
Number Of Medicare Beneficiaries With Drug Services |
317 |
Total Drug Submitted ChargeAmount |
88807.57 |
Total Drug Medicare AllowedAmount |
49698.87 |
Total Drug Medicare PaymentAmount |
38508.22 |
Total Drug Medicare Standardized Payment Amount |
38508.22 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
73 |
Number Of Medical Services |
2310 |
Number Of Medicare Beneficiaries With Medical Services |
640 |
Total Medical Submitted Charge Amount |
474410 |
Total Medical Medicare Allowed Amount |
200270.55 |
Total Medical Medicare Payment Amount |
148138.98 |
Total Medical Medicare Standardized Payment Amount |
151162.53 |
Average Age Of Beneficiaries |
72 |
Number Of Beneficiaries Age Less65 |
108 |
Number Of Beneficiaries Age 65 to 74 |
267 |
Number Of Beneficiaries Age 75 to 84 |
174 |
Number Of Beneficiaries Age Greater 84 |
91 |
Number Of Female Beneficiaries |
419 |
Number Of Male Beneficiaries |
221 |
Number Of Non Hispanic White Beneficiaries |
617 |
Number Of Black or African American Beneficiaries |
|
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 |
524 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
116 |
Percent Of With Atrial Fibrillation |
12 |
Percent Of With Alzheimers Disease or Dementia |
7 |
Percent Of With Asthma |
8 |
Percent Of With Cancer |
10 |
Percent Of With Heart Failure |
16 |
Percent Of With Chronic Kidney Disease |
16 |
Percent Of With Chronic Obstructive Pulmonary Disease |
11 |
Percent Of With Depression |
19 |
Percent Of With Diabetes |
30 |
Percent Of With Hyperlipidemia |
62 |
Percent Of With Hypertension |
69 |
Percent Of With Ischemic Heart Disease |
34 |
Percent Of With Osteoporosis |
11 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
74 |
Percent Of With Schizophrenia Other PsychoticDisorders |
4 |
Percent Of With Stroke |
6 |
Average HCC Risk Score Of Beneficiaries |
1.0982 |