National Provider Identifier [NPI]: |
1770540247 |
Last Name Of The Provider |
COLPINI |
First Name Of The Provider |
ANTHONY |
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 |
150 CLINIC AVE |
Street Address 2 Of The Provider |
SUITE 101 |
City Of The Provider |
CARROLLTON |
Zip Code Of The Provider |
301174401 |
State Code Of The Provider |
GA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Orthopedic Surgery |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
172 |
Number Of Services |
7308 |
Number Of Medicare Beneficiaries |
499 |
Total Submitted Charge Amount |
1065225 |
Total Medicare Allowed Amount |
334627.11 |
Total Medicare Payment Amount |
245668.88 |
Total Medicare Standardized Payment Amount |
265473.58 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
7 |
Number Of Drug Services |
4476 |
Number Of Medicare Beneficiaries With Drug Services |
284 |
Total Drug Submitted ChargeAmount |
88842 |
Total Drug Medicare AllowedAmount |
48796.91 |
Total Drug Medicare PaymentAmount |
35895.99 |
Total Drug Medicare Standardized Payment Amount |
35895.99 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
165 |
Number Of Medical Services |
2832 |
Number Of Medicare Beneficiaries With Medical Services |
499 |
Total Medical Submitted Charge Amount |
976383 |
Total Medical Medicare Allowed Amount |
285830.2 |
Total Medical Medicare Payment Amount |
209772.89 |
Total Medical Medicare Standardized Payment Amount |
229577.59 |
Average Age Of Beneficiaries |
71 |
Number Of Beneficiaries Age Less65 |
94 |
Number Of Beneficiaries Age 65 to 74 |
213 |
Number Of Beneficiaries Age 75 to 84 |
143 |
Number Of Beneficiaries Age Greater 84 |
49 |
Number Of Female Beneficiaries |
323 |
Number Of Male Beneficiaries |
176 |
Number Of Non Hispanic White Beneficiaries |
459 |
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 |
396 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
103 |
Percent Of With Atrial Fibrillation |
14 |
Percent Of With Alzheimers Disease or Dementia |
10 |
Percent Of With Asthma |
11 |
Percent Of With Cancer |
8 |
Percent Of With Heart Failure |
18 |
Percent Of With Chronic Kidney Disease |
29 |
Percent Of With Chronic Obstructive Pulmonary Disease |
18 |
Percent Of With Depression |
21 |
Percent Of With Diabetes |
33 |
Percent Of With Hyperlipidemia |
62 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
39 |
Percent Of With Osteoporosis |
9 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
71 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
1.3474 |