National Provider Identifier [NPI]: |
1154327146 |
Last Name Of The Provider |
AITA |
First Name Of The Provider |
DAREN |
Middle Initial Of The Provider |
J |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1225 WHITEHORSE MERCERVILLE RD |
Street Address 2 Of The Provider |
BLDG. D. SUITE 220 |
City Of The Provider |
MERCERVILLE |
Zip Code Of The Provider |
086193882 |
State Code Of The Provider |
NJ |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Orthopedic Surgery |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
168 |
Number Of Services |
4074 |
Number Of Medicare Beneficiaries |
564 |
Total Submitted Charge Amount |
1046251.39 |
Total Medicare Allowed Amount |
265110.42 |
Total Medicare Payment Amount |
200544.8 |
Total Medicare Standardized Payment Amount |
174430.65 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
4 |
Number Of Drug Services |
853 |
Number Of Medicare Beneficiaries With Drug Services |
114 |
Total Drug Submitted ChargeAmount |
54372 |
Total Drug Medicare AllowedAmount |
22435.92 |
Total Drug Medicare PaymentAmount |
17233.34 |
Total Drug Medicare Standardized Payment Amount |
17233.34 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
164 |
Number Of Medical Services |
3221 |
Number Of Medicare Beneficiaries With Medical Services |
564 |
Total Medical Submitted Charge Amount |
991879.39 |
Total Medical Medicare Allowed Amount |
242674.5 |
Total Medical Medicare Payment Amount |
183311.46 |
Total Medical Medicare Standardized Payment Amount |
157197.31 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
54 |
Number Of Beneficiaries Age 65 to 74 |
273 |
Number Of Beneficiaries Age 75 to 84 |
167 |
Number Of Beneficiaries Age Greater 84 |
70 |
Number Of Female Beneficiaries |
363 |
Number Of Male Beneficiaries |
201 |
Number Of Non Hispanic White Beneficiaries |
468 |
Number Of Black or African American Beneficiaries |
51 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
22 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
523 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
41 |
Percent Of With Atrial Fibrillation |
14 |
Percent Of With Alzheimers Disease or Dementia |
9 |
Percent Of With Asthma |
9 |
Percent Of With Cancer |
10 |
Percent Of With Heart Failure |
13 |
Percent Of With Chronic Kidney Disease |
16 |
Percent Of With Chronic Obstructive Pulmonary Disease |
16 |
Percent Of With Depression |
16 |
Percent Of With Diabetes |
37 |
Percent Of With Hyperlipidemia |
71 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
41 |
Percent Of With Osteoporosis |
7 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
66 |
Percent Of With Schizophrenia Other PsychoticDisorders |
2 |
Percent Of With Stroke |
4 |
Average HCC Risk Score Of Beneficiaries |
1.1467 |