National Provider Identifier [NPI]: |
1578568291 |
Last Name Of The Provider |
HESS |
First Name Of The Provider |
ALFRED |
Middle Initial Of The Provider |
V |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
13020 N TELECOM PKWY |
Street Address 2 Of The Provider |
|
City Of The Provider |
TEMPLE TERRACE |
Zip Code Of The Provider |
336370925 |
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 |
135 |
Number Of Services |
4288 |
Number Of Medicare Beneficiaries |
482 |
Total Submitted Charge Amount |
1382069.9 |
Total Medicare Allowed Amount |
302235.61 |
Total Medicare Payment Amount |
229416.14 |
Total Medicare Standardized Payment Amount |
229013.34 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
4 |
Number Of Drug Services |
2003 |
Number Of Medicare Beneficiaries With Drug Services |
132 |
Total Drug Submitted ChargeAmount |
134664.9 |
Total Drug Medicare AllowedAmount |
57082.66 |
Total Drug Medicare PaymentAmount |
44672.85 |
Total Drug Medicare Standardized Payment Amount |
44672.85 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
131 |
Number Of Medical Services |
2285 |
Number Of Medicare Beneficiaries With Medical Services |
482 |
Total Medical Submitted Charge Amount |
1247405 |
Total Medical Medicare Allowed Amount |
245152.95 |
Total Medical Medicare Payment Amount |
184743.29 |
Total Medical Medicare Standardized Payment Amount |
184340.49 |
Average Age Of Beneficiaries |
71 |
Number Of Beneficiaries Age Less65 |
81 |
Number Of Beneficiaries Age 65 to 74 |
226 |
Number Of Beneficiaries Age 75 to 84 |
134 |
Number Of Beneficiaries Age Greater 84 |
41 |
Number Of Female Beneficiaries |
305 |
Number Of Male Beneficiaries |
177 |
Number Of Non Hispanic White Beneficiaries |
404 |
Number Of Black or African American Beneficiaries |
23 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
40 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
420 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
62 |
Percent Of With Atrial Fibrillation |
9 |
Percent Of With Alzheimers Disease or Dementia |
8 |
Percent Of With Asthma |
10 |
Percent Of With Cancer |
11 |
Percent Of With Heart Failure |
11 |
Percent Of With Chronic Kidney Disease |
25 |
Percent Of With Chronic Obstructive Pulmonary Disease |
15 |
Percent Of With Depression |
24 |
Percent Of With Diabetes |
30 |
Percent Of With Hyperlipidemia |
65 |
Percent Of With Hypertension |
71 |
Percent Of With Ischemic Heart Disease |
42 |
Percent Of With Osteoporosis |
14 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
58 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
7 |
Average HCC Risk Score Of Beneficiaries |
1.2852 |