National Provider Identifier [NPI]: |
1538272190 |
Last Name Of The Provider |
FROEHLING |
First Name Of The Provider |
ALAN |
Middle Initial Of The Provider |
L |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
302 BROADWAY ST |
Street Address 2 Of The Provider |
|
City Of The Provider |
MOUNT VERNON |
Zip Code Of The Provider |
628645116 |
State Code Of The Provider |
IL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Orthopedic Surgery |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
118 |
Number Of Services |
3217 |
Number Of Medicare Beneficiaries |
668 |
Total Submitted Charge Amount |
958265.6 |
Total Medicare Allowed Amount |
279102.08 |
Total Medicare Payment Amount |
206260.72 |
Total Medicare Standardized Payment Amount |
211297.37 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
3 |
Number Of Drug Services |
1061 |
Number Of Medicare Beneficiaries With Drug Services |
159 |
Total Drug Submitted ChargeAmount |
49402.6 |
Total Drug Medicare AllowedAmount |
29683.85 |
Total Drug Medicare PaymentAmount |
22339.88 |
Total Drug Medicare Standardized Payment Amount |
22339.88 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
115 |
Number Of Medical Services |
2156 |
Number Of Medicare Beneficiaries With Medical Services |
668 |
Total Medical Submitted Charge Amount |
908863 |
Total Medical Medicare Allowed Amount |
249418.23 |
Total Medical Medicare Payment Amount |
183920.84 |
Total Medical Medicare Standardized Payment Amount |
188957.49 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
101 |
Number Of Beneficiaries Age 65 to 74 |
232 |
Number Of Beneficiaries Age 75 to 84 |
223 |
Number Of Beneficiaries Age Greater 84 |
112 |
Number Of Female Beneficiaries |
423 |
Number Of Male Beneficiaries |
245 |
Number Of Non Hispanic White Beneficiaries |
650 |
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 |
507 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
161 |
Percent Of With Atrial Fibrillation |
15 |
Percent Of With Alzheimers Disease or Dementia |
13 |
Percent Of With Asthma |
6 |
Percent Of With Cancer |
10 |
Percent Of With Heart Failure |
20 |
Percent Of With Chronic Kidney Disease |
22 |
Percent Of With Chronic Obstructive Pulmonary Disease |
24 |
Percent Of With Depression |
23 |
Percent Of With Diabetes |
32 |
Percent Of With Hyperlipidemia |
54 |
Percent Of With Hypertension |
72 |
Percent Of With Ischemic Heart Disease |
39 |
Percent Of With Osteoporosis |
12 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
68 |
Percent Of With Schizophrenia Other PsychoticDisorders |
5 |
Percent Of With Stroke |
6 |
Average HCC Risk Score Of Beneficiaries |
1.2436 |