National Provider Identifier [NPI]: |
1962404137 |
Last Name Of The Provider |
SPECIALE |
First Name Of The Provider |
ALESSANDRO |
Middle Initial Of The Provider |
C |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
2000 MEDICAL PKWY |
Street Address 2 Of The Provider |
SUITE 101 |
City Of The Provider |
ANNAPOLIS |
Zip Code Of The Provider |
214013742 |
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 |
96 |
Number Of Services |
2398 |
Number Of Medicare Beneficiaries |
622 |
Total Submitted Charge Amount |
842090 |
Total Medicare Allowed Amount |
424339.64 |
Total Medicare Payment Amount |
320644.39 |
Total Medicare Standardized Payment Amount |
307688.9 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
4 |
Number Of Drug Services |
270 |
Number Of Medicare Beneficiaries With Drug Services |
94 |
Total Drug Submitted ChargeAmount |
38500 |
Total Drug Medicare AllowedAmount |
23474.99 |
Total Drug Medicare PaymentAmount |
18404.21 |
Total Drug Medicare Standardized Payment Amount |
18404.21 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
92 |
Number Of Medical Services |
2128 |
Number Of Medicare Beneficiaries With Medical Services |
622 |
Total Medical Submitted Charge Amount |
803590 |
Total Medical Medicare Allowed Amount |
400864.65 |
Total Medical Medicare Payment Amount |
302240.18 |
Total Medical Medicare Standardized Payment Amount |
289284.69 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
44 |
Number Of Beneficiaries Age 65 to 74 |
292 |
Number Of Beneficiaries Age 75 to 84 |
203 |
Number Of Beneficiaries Age Greater 84 |
83 |
Number Of Female Beneficiaries |
400 |
Number Of Male Beneficiaries |
222 |
Number Of Non Hispanic White Beneficiaries |
537 |
Number Of Black or African American Beneficiaries |
69 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
596 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
26 |
Percent Of With Atrial Fibrillation |
11 |
Percent Of With Alzheimers Disease or Dementia |
8 |
Percent Of With Asthma |
10 |
Percent Of With Cancer |
12 |
Percent Of With Heart Failure |
12 |
Percent Of With Chronic Kidney Disease |
17 |
Percent Of With Chronic Obstructive Pulmonary Disease |
11 |
Percent Of With Depression |
20 |
Percent Of With Diabetes |
28 |
Percent Of With Hyperlipidemia |
63 |
Percent Of With Hypertension |
73 |
Percent Of With Ischemic Heart Disease |
32 |
Percent Of With Osteoporosis |
16 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
75 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
3 |
Average HCC Risk Score Of Beneficiaries |
1.1544 |