National Provider Identifier [NPI]: |
1750321089 |
Last Name Of The Provider |
WHITTUM |
First Name Of The Provider |
JAMES |
Middle Initial Of The Provider |
R |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
77 HOSPITAL AVE |
Street Address 2 Of The Provider |
SUITE 107 |
City Of The Provider |
NORTH ADAMS |
Zip Code Of The Provider |
012472550 |
State Code Of The Provider |
MA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Orthopedic Surgery |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
148 |
Number Of Services |
2517 |
Number Of Medicare Beneficiaries |
612 |
Total Submitted Charge Amount |
910958 |
Total Medicare Allowed Amount |
305934.88 |
Total Medicare Payment Amount |
229279.78 |
Total Medicare Standardized Payment Amount |
231437.85 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
439 |
Number Of Medicare Beneficiaries With Drug Services |
127 |
Total Drug Submitted ChargeAmount |
12812 |
Total Drug Medicare AllowedAmount |
6964.92 |
Total Drug Medicare PaymentAmount |
5401.34 |
Total Drug Medicare Standardized Payment Amount |
5401.34 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
146 |
Number Of Medical Services |
2078 |
Number Of Medicare Beneficiaries With Medical Services |
612 |
Total Medical Submitted Charge Amount |
898146 |
Total Medical Medicare Allowed Amount |
298969.96 |
Total Medical Medicare Payment Amount |
223878.44 |
Total Medical Medicare Standardized Payment Amount |
226036.51 |
Average Age Of Beneficiaries |
70 |
Number Of Beneficiaries Age Less65 |
148 |
Number Of Beneficiaries Age 65 to 74 |
232 |
Number Of Beneficiaries Age 75 to 84 |
155 |
Number Of Beneficiaries Age Greater 84 |
77 |
Number Of Female Beneficiaries |
360 |
Number Of Male Beneficiaries |
252 |
Number Of Non Hispanic White Beneficiaries |
588 |
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 |
403 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
209 |
Percent Of With Atrial Fibrillation |
11 |
Percent Of With Alzheimers Disease or Dementia |
7 |
Percent Of With Asthma |
8 |
Percent Of With Cancer |
8 |
Percent Of With Heart Failure |
13 |
Percent Of With Chronic Kidney Disease |
16 |
Percent Of With Chronic Obstructive Pulmonary Disease |
15 |
Percent Of With Depression |
28 |
Percent Of With Diabetes |
27 |
Percent Of With Hyperlipidemia |
48 |
Percent Of With Hypertension |
58 |
Percent Of With Ischemic Heart Disease |
28 |
Percent Of With Osteoporosis |
10 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
53 |
Percent Of With Schizophrenia Other PsychoticDisorders |
4 |
Percent Of With Stroke |
4 |
Average HCC Risk Score Of Beneficiaries |
1.1075 |