National Provider Identifier [NPI]: |
1871791673 |
Last Name Of The Provider |
VEGARI |
First Name Of The Provider |
DAVID |
Middle Initial Of The Provider |
N |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
100 E LANCASTER AVE |
Street Address 2 Of The Provider |
LANKENAU MOB EAST, SUITE 256 |
City Of The Provider |
WYNNEWOOD |
Zip Code Of The Provider |
190963450 |
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 |
43 |
Number Of Services |
1159 |
Number Of Medicare Beneficiaries |
241 |
Total Submitted Charge Amount |
458136 |
Total Medicare Allowed Amount |
178139.4 |
Total Medicare Payment Amount |
138428.87 |
Total Medicare Standardized Payment Amount |
129593.86 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
5 |
Number Of Drug Services |
333 |
Number Of Medicare Beneficiaries With Drug Services |
104 |
Total Drug Submitted ChargeAmount |
94859 |
Total Drug Medicare AllowedAmount |
36970.98 |
Total Drug Medicare PaymentAmount |
28985.12 |
Total Drug Medicare Standardized Payment Amount |
28985.12 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
38 |
Number Of Medical Services |
826 |
Number Of Medicare Beneficiaries With Medical Services |
241 |
Total Medical Submitted Charge Amount |
363277 |
Total Medical Medicare Allowed Amount |
141168.42 |
Total Medical Medicare Payment Amount |
109443.75 |
Total Medical Medicare Standardized Payment Amount |
100608.74 |
Average Age Of Beneficiaries |
75 |
Number Of Beneficiaries Age Less65 |
22 |
Number Of Beneficiaries Age 65 to 74 |
107 |
Number Of Beneficiaries Age 75 to 84 |
67 |
Number Of Beneficiaries Age Greater 84 |
45 |
Number Of Female Beneficiaries |
155 |
Number Of Male Beneficiaries |
86 |
Number Of Non Hispanic White Beneficiaries |
180 |
Number Of Black or African American Beneficiaries |
50 |
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 |
216 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
25 |
Percent Of With Atrial Fibrillation |
14 |
Percent Of With Alzheimers Disease or Dementia |
13 |
Percent Of With Asthma |
13 |
Percent Of With Cancer |
14 |
Percent Of With Heart Failure |
22 |
Percent Of With Chronic Kidney Disease |
25 |
Percent Of With Chronic Obstructive Pulmonary Disease |
11 |
Percent Of With Depression |
23 |
Percent Of With Diabetes |
34 |
Percent Of With Hyperlipidemia |
67 |
Percent Of With Hypertension |
74 |
Percent Of With Ischemic Heart Disease |
37 |
Percent Of With Osteoporosis |
12 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
75 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
8 |
Average HCC Risk Score Of Beneficiaries |
1.1761 |