National Provider Identifier [NPI]: |
1194728469 |
Last Name Of The Provider |
PFAFF |
First Name Of The Provider |
MARK |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
|
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
160 RAILROAD AVE |
Street Address 2 Of The Provider |
|
City Of The Provider |
ELKTON |
Zip Code Of The Provider |
219215538 |
State Code Of The Provider |
MD |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Orthopedic Surgery |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
77 |
Number Of Services |
5483 |
Number Of Medicare Beneficiaries |
585 |
Total Submitted Charge Amount |
668043 |
Total Medicare Allowed Amount |
322775.85 |
Total Medicare Payment Amount |
244077.88 |
Total Medicare Standardized Payment Amount |
239907.77 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
4 |
Number Of Drug Services |
3594 |
Number Of Medicare Beneficiaries With Drug Services |
300 |
Total Drug Submitted ChargeAmount |
85767 |
Total Drug Medicare AllowedAmount |
41413.82 |
Total Drug Medicare PaymentAmount |
32464.02 |
Total Drug Medicare Standardized Payment Amount |
32464.02 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
73 |
Number Of Medical Services |
1889 |
Number Of Medicare Beneficiaries With Medical Services |
585 |
Total Medical Submitted Charge Amount |
582276 |
Total Medical Medicare Allowed Amount |
281362.03 |
Total Medical Medicare Payment Amount |
211613.86 |
Total Medical Medicare Standardized Payment Amount |
207443.75 |
Average Age Of Beneficiaries |
69 |
Number Of Beneficiaries Age Less65 |
169 |
Number Of Beneficiaries Age 65 to 74 |
232 |
Number Of Beneficiaries Age 75 to 84 |
134 |
Number Of Beneficiaries Age Greater 84 |
50 |
Number Of Female Beneficiaries |
381 |
Number Of Male Beneficiaries |
204 |
Number Of Non Hispanic White Beneficiaries |
550 |
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 |
421 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
164 |
Percent Of With Atrial Fibrillation |
11 |
Percent Of With Alzheimers Disease or Dementia |
8 |
Percent Of With Asthma |
13 |
Percent Of With Cancer |
8 |
Percent Of With Heart Failure |
19 |
Percent Of With Chronic Kidney Disease |
22 |
Percent Of With Chronic Obstructive Pulmonary Disease |
19 |
Percent Of With Depression |
32 |
Percent Of With Diabetes |
39 |
Percent Of With Hyperlipidemia |
54 |
Percent Of With Hypertension |
71 |
Percent Of With Ischemic Heart Disease |
36 |
Percent Of With Osteoporosis |
9 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
70 |
Percent Of With Schizophrenia Other PsychoticDisorders |
4 |
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
1.2689 |