National Provider Identifier [NPI]: |
1396727731 |
Last Name Of The Provider |
ANSPACH |
First Name Of The Provider |
WILLIAM |
Middle Initial Of The Provider |
E |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1050 SE MONTEREY RD |
Street Address 2 Of The Provider |
SUITE 400 |
City Of The Provider |
STUART |
Zip Code Of The Provider |
349944512 |
State Code Of The Provider |
FL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Orthopedic Surgery |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
71 |
Number Of Services |
5421 |
Number Of Medicare Beneficiaries |
907 |
Total Submitted Charge Amount |
920487.84 |
Total Medicare Allowed Amount |
296745.95 |
Total Medicare Payment Amount |
219964.16 |
Total Medicare Standardized Payment Amount |
197604.08 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
4 |
Number Of Drug Services |
656 |
Number Of Medicare Beneficiaries With Drug Services |
360 |
Total Drug Submitted ChargeAmount |
65141 |
Total Drug Medicare AllowedAmount |
37942.36 |
Total Drug Medicare PaymentAmount |
28294.36 |
Total Drug Medicare Standardized Payment Amount |
28294.36 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
67 |
Number Of Medical Services |
4765 |
Number Of Medicare Beneficiaries With Medical Services |
907 |
Total Medical Submitted Charge Amount |
855346.84 |
Total Medical Medicare Allowed Amount |
258803.59 |
Total Medical Medicare Payment Amount |
191669.8 |
Total Medical Medicare Standardized Payment Amount |
169309.72 |
Average Age Of Beneficiaries |
76 |
Number Of Beneficiaries Age Less65 |
26 |
Number Of Beneficiaries Age 65 to 74 |
406 |
Number Of Beneficiaries Age 75 to 84 |
342 |
Number Of Beneficiaries Age Greater 84 |
133 |
Number Of Female Beneficiaries |
516 |
Number Of Male Beneficiaries |
391 |
Number Of Non Hispanic White Beneficiaries |
872 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
15 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
884 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
23 |
Percent Of With Atrial Fibrillation |
14 |
Percent Of With Alzheimers Disease or Dementia |
5 |
Percent Of With Asthma |
7 |
Percent Of With Cancer |
14 |
Percent Of With Heart Failure |
11 |
Percent Of With Chronic Kidney Disease |
13 |
Percent Of With Chronic Obstructive Pulmonary Disease |
14 |
Percent Of With Depression |
16 |
Percent Of With Diabetes |
24 |
Percent Of With Hyperlipidemia |
67 |
Percent Of With Hypertension |
70 |
Percent Of With Ischemic Heart Disease |
41 |
Percent Of With Osteoporosis |
12 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
75 |
Percent Of With Schizophrenia Other PsychoticDisorders |
1 |
Percent Of With Stroke |
3 |
Average HCC Risk Score Of Beneficiaries |
0.9797 |