National Provider Identifier [NPI]: |
1811966708 |
Last Name Of The Provider |
BADDAR |
First Name Of The Provider |
ADRIAN |
Middle Initial Of The Provider |
T |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
730 THIMBLE SHOALS BLVD |
Street Address 2 Of The Provider |
SUITE 130 |
City Of The Provider |
NEWPORT NEWS |
Zip Code Of The Provider |
236064562 |
State Code Of The Provider |
VA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Orthopedic Surgery |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
158 |
Number Of Services |
8649 |
Number Of Medicare Beneficiaries |
1031 |
Total Submitted Charge Amount |
1796725.34 |
Total Medicare Allowed Amount |
514976.08 |
Total Medicare Payment Amount |
387387.68 |
Total Medicare Standardized Payment Amount |
397494.47 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
11 |
Number Of Drug Services |
3037 |
Number Of Medicare Beneficiaries With Drug Services |
390 |
Total Drug Submitted ChargeAmount |
117144.34 |
Total Drug Medicare AllowedAmount |
57647.75 |
Total Drug Medicare PaymentAmount |
44265.5 |
Total Drug Medicare Standardized Payment Amount |
44265.5 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
147 |
Number Of Medical Services |
5612 |
Number Of Medicare Beneficiaries With Medical Services |
1031 |
Total Medical Submitted Charge Amount |
1679581 |
Total Medical Medicare Allowed Amount |
457328.33 |
Total Medical Medicare Payment Amount |
343122.18 |
Total Medical Medicare Standardized Payment Amount |
353228.97 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
97 |
Number Of Beneficiaries Age 65 to 74 |
493 |
Number Of Beneficiaries Age 75 to 84 |
331 |
Number Of Beneficiaries Age Greater 84 |
110 |
Number Of Female Beneficiaries |
668 |
Number Of Male Beneficiaries |
363 |
Number Of Non Hispanic White Beneficiaries |
840 |
Number Of Black or African American Beneficiaries |
156 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
14 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
952 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
79 |
Percent Of With Atrial Fibrillation |
10 |
Percent Of With Alzheimers Disease or Dementia |
8 |
Percent Of With Asthma |
9 |
Percent Of With Cancer |
11 |
Percent Of With Heart Failure |
13 |
Percent Of With Chronic Kidney Disease |
19 |
Percent Of With Chronic Obstructive Pulmonary Disease |
11 |
Percent Of With Depression |
23 |
Percent Of With Diabetes |
29 |
Percent Of With Hyperlipidemia |
61 |
Percent Of With Hypertension |
73 |
Percent Of With Ischemic Heart Disease |
28 |
Percent Of With Osteoporosis |
11 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
71 |
Percent Of With Schizophrenia Other PsychoticDisorders |
2 |
Percent Of With Stroke |
4 |
Average HCC Risk Score Of Beneficiaries |
1.0735 |