National Provider Identifier [NPI]: |
1053424069 |
Last Name Of The Provider |
HAAS |
First Name Of The Provider |
MYRON |
Middle Initial Of The Provider |
D |
Credentials Of The Provider |
DO |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
700 SCHUYLKILL MANOR RD |
Street Address 2 Of The Provider |
|
City Of The Provider |
POTTSVILLE |
Zip Code Of The Provider |
179013849 |
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 |
148 |
Number Of Services |
4107 |
Number Of Medicare Beneficiaries |
532 |
Total Submitted Charge Amount |
599113 |
Total Medicare Allowed Amount |
288087.34 |
Total Medicare Payment Amount |
217104.75 |
Total Medicare Standardized Payment Amount |
225452.32 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
8 |
Number Of Drug Services |
969 |
Number Of Medicare Beneficiaries With Drug Services |
196 |
Total Drug Submitted ChargeAmount |
52853 |
Total Drug Medicare AllowedAmount |
29528.22 |
Total Drug Medicare PaymentAmount |
23095.42 |
Total Drug Medicare Standardized Payment Amount |
23095.42 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
140 |
Number Of Medical Services |
3138 |
Number Of Medicare Beneficiaries With Medical Services |
532 |
Total Medical Submitted Charge Amount |
546260 |
Total Medical Medicare Allowed Amount |
258559.12 |
Total Medical Medicare Payment Amount |
194009.33 |
Total Medical Medicare Standardized Payment Amount |
202356.9 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
105 |
Number Of Beneficiaries Age 65 to 74 |
155 |
Number Of Beneficiaries Age 75 to 84 |
145 |
Number Of Beneficiaries Age Greater 84 |
127 |
Number Of Female Beneficiaries |
356 |
Number Of Male Beneficiaries |
176 |
Number Of Non Hispanic White Beneficiaries |
|
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 |
352 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
180 |
Percent Of With Atrial Fibrillation |
15 |
Percent Of With Alzheimers Disease or Dementia |
17 |
Percent Of With Asthma |
10 |
Percent Of With Cancer |
11 |
Percent Of With Heart Failure |
31 |
Percent Of With Chronic Kidney Disease |
26 |
Percent Of With Chronic Obstructive Pulmonary Disease |
23 |
Percent Of With Depression |
28 |
Percent Of With Diabetes |
38 |
Percent Of With Hyperlipidemia |
61 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
41 |
Percent Of With Osteoporosis |
17 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
73 |
Percent Of With Schizophrenia Other PsychoticDisorders |
6 |
Percent Of With Stroke |
6 |
Average HCC Risk Score Of Beneficiaries |
1.5359 |