National Provider Identifier [NPI]: |
1194774182 |
Last Name Of The Provider |
GHOSH |
First Name Of The Provider |
BIJOY |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
111 W HIGH ST |
Street Address 2 Of The Provider |
SUITE 307 |
City Of The Provider |
ELKTON |
Zip Code Of The Provider |
219215529 |
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 |
85 |
Number Of Services |
2662 |
Number Of Medicare Beneficiaries |
577 |
Total Submitted Charge Amount |
691017.38 |
Total Medicare Allowed Amount |
277365.37 |
Total Medicare Payment Amount |
212571.33 |
Total Medicare Standardized Payment Amount |
208657.08 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
1189 |
Number Of Medicare Beneficiaries With Drug Services |
172 |
Total Drug Submitted ChargeAmount |
16852.38 |
Total Drug Medicare AllowedAmount |
12946.12 |
Total Drug Medicare PaymentAmount |
10067.42 |
Total Drug Medicare Standardized Payment Amount |
10067.42 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
83 |
Number Of Medical Services |
1473 |
Number Of Medicare Beneficiaries With Medical Services |
577 |
Total Medical Submitted Charge Amount |
674165 |
Total Medical Medicare Allowed Amount |
264419.25 |
Total Medical Medicare Payment Amount |
202503.91 |
Total Medical Medicare Standardized Payment Amount |
198589.66 |
Average Age Of Beneficiaries |
75 |
Number Of Beneficiaries Age Less65 |
53 |
Number Of Beneficiaries Age 65 to 74 |
226 |
Number Of Beneficiaries Age 75 to 84 |
206 |
Number Of Beneficiaries Age Greater 84 |
92 |
Number Of Female Beneficiaries |
380 |
Number Of Male Beneficiaries |
197 |
Number Of Non Hispanic White Beneficiaries |
510 |
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 |
490 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
87 |
Percent Of With Atrial Fibrillation |
12 |
Percent Of With Alzheimers Disease or Dementia |
14 |
Percent Of With Asthma |
10 |
Percent Of With Cancer |
11 |
Percent Of With Heart Failure |
17 |
Percent Of With Chronic Kidney Disease |
24 |
Percent Of With Chronic Obstructive Pulmonary Disease |
20 |
Percent Of With Depression |
27 |
Percent Of With Diabetes |
33 |
Percent Of With Hyperlipidemia |
67 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
39 |
Percent Of With Osteoporosis |
13 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
69 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
4 |
Average HCC Risk Score Of Beneficiaries |
1.2349 |