National Provider Identifier [NPI]: |
1467490466 |
Last Name Of The Provider |
SALZMAN |
First Name Of The Provider |
ARIE |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1710 E SAUNDERS |
Street Address 2 Of The Provider |
SUITE B670 |
City Of The Provider |
LAREDO |
Zip Code Of The Provider |
780415401 |
State Code Of The Provider |
TX |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Orthopedic Surgery |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
129 |
Number Of Services |
6559 |
Number Of Medicare Beneficiaries |
693 |
Total Submitted Charge Amount |
878389 |
Total Medicare Allowed Amount |
432388.59 |
Total Medicare Payment Amount |
326422.21 |
Total Medicare Standardized Payment Amount |
344185.08 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
1 |
Number Of Drug Services |
1168 |
Number Of Medicare Beneficiaries With Drug Services |
22 |
Total Drug Submitted ChargeAmount |
18688 |
Total Drug Medicare AllowedAmount |
14579.41 |
Total Drug Medicare PaymentAmount |
11430.15 |
Total Drug Medicare Standardized Payment Amount |
11430.15 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
128 |
Number Of Medical Services |
5391 |
Number Of Medicare Beneficiaries With Medical Services |
693 |
Total Medical Submitted Charge Amount |
859701 |
Total Medical Medicare Allowed Amount |
417809.18 |
Total Medical Medicare Payment Amount |
314992.06 |
Total Medical Medicare Standardized Payment Amount |
332754.93 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
100 |
Number Of Beneficiaries Age 65 to 74 |
284 |
Number Of Beneficiaries Age 75 to 84 |
197 |
Number Of Beneficiaries Age Greater 84 |
112 |
Number Of Female Beneficiaries |
490 |
Number Of Male Beneficiaries |
203 |
Number Of Non Hispanic White Beneficiaries |
|
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
631 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
231 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
462 |
Percent Of With Atrial Fibrillation |
4 |
Percent Of With Alzheimers Disease or Dementia |
23 |
Percent Of With Asthma |
9 |
Percent Of With Cancer |
6 |
Percent Of With Heart Failure |
21 |
Percent Of With Chronic Kidney Disease |
27 |
Percent Of With Chronic Obstructive Pulmonary Disease |
21 |
Percent Of With Depression |
22 |
Percent Of With Diabetes |
62 |
Percent Of With Hyperlipidemia |
70 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
60 |
Percent Of With Osteoporosis |
32 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
75 |
Percent Of With Schizophrenia Other PsychoticDisorders |
2 |
Percent Of With Stroke |
6 |
Average HCC Risk Score Of Beneficiaries |
1.7823 |