National Provider Identifier [NPI]: |
1821043456 |
Last Name Of The Provider |
FARRELL |
First Name Of The Provider |
JOSEPH |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
D.O. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
401 YOUNG AVE |
Street Address 2 Of The Provider |
SUITE 245 |
City Of The Provider |
MOORESTOWN |
Zip Code Of The Provider |
080573130 |
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 |
136 |
Number Of Services |
8521 |
Number Of Medicare Beneficiaries |
918 |
Total Submitted Charge Amount |
1361573.32 |
Total Medicare Allowed Amount |
448533.69 |
Total Medicare Payment Amount |
340716.17 |
Total Medicare Standardized Payment Amount |
317819.18 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
6 |
Number Of Drug Services |
4717 |
Number Of Medicare Beneficiaries With Drug Services |
419 |
Total Drug Submitted ChargeAmount |
161156.19 |
Total Drug Medicare AllowedAmount |
97391.45 |
Total Drug Medicare PaymentAmount |
75885.05 |
Total Drug Medicare Standardized Payment Amount |
75885.05 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
130 |
Number Of Medical Services |
3804 |
Number Of Medicare Beneficiaries With Medical Services |
918 |
Total Medical Submitted Charge Amount |
1200417.13 |
Total Medical Medicare Allowed Amount |
351142.24 |
Total Medical Medicare Payment Amount |
264831.12 |
Total Medical Medicare Standardized Payment Amount |
241934.13 |
Average Age Of Beneficiaries |
75 |
Number Of Beneficiaries Age Less65 |
71 |
Number Of Beneficiaries Age 65 to 74 |
397 |
Number Of Beneficiaries Age 75 to 84 |
302 |
Number Of Beneficiaries Age Greater 84 |
148 |
Number Of Female Beneficiaries |
628 |
Number Of Male Beneficiaries |
290 |
Number Of Non Hispanic White Beneficiaries |
824 |
Number Of Black or African American Beneficiaries |
62 |
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 |
13 |
Number Of Beneficiaries With Medicare Only Entitlement |
863 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
55 |
Percent Of With Atrial Fibrillation |
15 |
Percent Of With Alzheimers Disease or Dementia |
10 |
Percent Of With Asthma |
11 |
Percent Of With Cancer |
14 |
Percent Of With Heart Failure |
18 |
Percent Of With Chronic Kidney Disease |
20 |
Percent Of With Chronic Obstructive Pulmonary Disease |
14 |
Percent Of With Depression |
21 |
Percent Of With Diabetes |
34 |
Percent Of With Hyperlipidemia |
68 |
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 |
2 |
Percent Of With Stroke |
6 |
Average HCC Risk Score Of Beneficiaries |
1.243 |