National Provider Identifier [NPI]: |
1710967476 |
Last Name Of The Provider |
BRUCE |
First Name Of The Provider |
JAMES |
Middle Initial Of The Provider |
F |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1805 VERNON RD |
Street Address 2 Of The Provider |
SUITE B |
City Of The Provider |
LAGRANGE |
Zip Code Of The Provider |
302404041 |
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 |
140 |
Number Of Services |
7969 |
Number Of Medicare Beneficiaries |
779 |
Total Submitted Charge Amount |
1329882 |
Total Medicare Allowed Amount |
307928.46 |
Total Medicare Payment Amount |
227314.03 |
Total Medicare Standardized Payment Amount |
247105.88 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
5 |
Number Of Drug Services |
5005 |
Number Of Medicare Beneficiaries With Drug Services |
312 |
Total Drug Submitted ChargeAmount |
201483 |
Total Drug Medicare AllowedAmount |
39109.7 |
Total Drug Medicare PaymentAmount |
30335.98 |
Total Drug Medicare Standardized Payment Amount |
30335.98 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
135 |
Number Of Medical Services |
2964 |
Number Of Medicare Beneficiaries With Medical Services |
779 |
Total Medical Submitted Charge Amount |
1128399 |
Total Medical Medicare Allowed Amount |
268818.76 |
Total Medical Medicare Payment Amount |
196978.05 |
Total Medical Medicare Standardized Payment Amount |
216769.9 |
Average Age Of Beneficiaries |
71 |
Number Of Beneficiaries Age Less65 |
161 |
Number Of Beneficiaries Age 65 to 74 |
307 |
Number Of Beneficiaries Age 75 to 84 |
218 |
Number Of Beneficiaries Age Greater 84 |
93 |
Number Of Female Beneficiaries |
534 |
Number Of Male Beneficiaries |
245 |
Number Of Non Hispanic White Beneficiaries |
616 |
Number Of Black or African American Beneficiaries |
151 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
566 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
213 |
Percent Of With Atrial Fibrillation |
11 |
Percent Of With Alzheimers Disease or Dementia |
11 |
Percent Of With Asthma |
6 |
Percent Of With Cancer |
9 |
Percent Of With Heart Failure |
17 |
Percent Of With Chronic Kidney Disease |
20 |
Percent Of With Chronic Obstructive Pulmonary Disease |
16 |
Percent Of With Depression |
21 |
Percent Of With Diabetes |
40 |
Percent Of With Hyperlipidemia |
53 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
33 |
Percent Of With Osteoporosis |
11 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
62 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
1.1947 |