National Provider Identifier [NPI]: |
1023076965 |
Last Name Of The Provider |
CAUTILLI |
First Name Of The Provider |
GEORGE |
Middle Initial Of The Provider |
P |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
115 FLORAL VALE BLVD |
Street Address 2 Of The Provider |
SUITE C |
City Of The Provider |
YARDLEY |
Zip Code Of The Provider |
190675522 |
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 |
60 |
Number Of Services |
4893 |
Number Of Medicare Beneficiaries |
817 |
Total Submitted Charge Amount |
907110.5 |
Total Medicare Allowed Amount |
388713.62 |
Total Medicare Payment Amount |
291273.13 |
Total Medicare Standardized Payment Amount |
265442.82 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
3 |
Number Of Drug Services |
1231 |
Number Of Medicare Beneficiaries With Drug Services |
472 |
Total Drug Submitted ChargeAmount |
22498.5 |
Total Drug Medicare AllowedAmount |
8475.28 |
Total Drug Medicare PaymentAmount |
6454.18 |
Total Drug Medicare Standardized Payment Amount |
6454.18 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
57 |
Number Of Medical Services |
3662 |
Number Of Medicare Beneficiaries With Medical Services |
817 |
Total Medical Submitted Charge Amount |
884612 |
Total Medical Medicare Allowed Amount |
380238.34 |
Total Medical Medicare Payment Amount |
284818.95 |
Total Medical Medicare Standardized Payment Amount |
258988.64 |
Average Age Of Beneficiaries |
75 |
Number Of Beneficiaries Age Less65 |
21 |
Number Of Beneficiaries Age 65 to 74 |
407 |
Number Of Beneficiaries Age 75 to 84 |
281 |
Number Of Beneficiaries Age Greater 84 |
108 |
Number Of Female Beneficiaries |
522 |
Number Of Male Beneficiaries |
295 |
Number Of Non Hispanic White Beneficiaries |
781 |
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 |
14 |
Number Of Beneficiaries With Medicare Only Entitlement |
804 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
13 |
Percent Of With Atrial Fibrillation |
16 |
Percent Of With Alzheimers Disease or Dementia |
6 |
Percent Of With Asthma |
6 |
Percent Of With Cancer |
10 |
Percent Of With Heart Failure |
12 |
Percent Of With Chronic Kidney Disease |
14 |
Percent Of With Chronic Obstructive Pulmonary Disease |
11 |
Percent Of With Depression |
15 |
Percent Of With Diabetes |
27 |
Percent Of With Hyperlipidemia |
70 |
Percent Of With Hypertension |
74 |
Percent Of With Ischemic Heart Disease |
43 |
Percent Of With Osteoporosis |
10 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
75 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
0.9746 |