National Provider Identifier [NPI]: |
1275517609 |
Last Name Of The Provider |
BROUDY |
First Name Of The Provider |
ARNOLD |
Middle Initial Of The Provider |
S |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
2550 MOSSIDE BLVD |
Street Address 2 Of The Provider |
STE 405 |
City Of The Provider |
MONROEVILLE |
Zip Code Of The Provider |
151463540 |
State Code Of The Provider |
PA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Orthopedic Surgery |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
70 |
Number Of Services |
1119 |
Number Of Medicare Beneficiaries |
202 |
Total Submitted Charge Amount |
187148 |
Total Medicare Allowed Amount |
61740.05 |
Total Medicare Payment Amount |
46430.03 |
Total Medicare Standardized Payment Amount |
48781.82 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
263 |
Number Of Medicare Beneficiaries With Drug Services |
66 |
Total Drug Submitted ChargeAmount |
4997 |
Total Drug Medicare AllowedAmount |
1494.61 |
Total Drug Medicare PaymentAmount |
1110.3 |
Total Drug Medicare Standardized Payment Amount |
1110.3 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
68 |
Number Of Medical Services |
856 |
Number Of Medicare Beneficiaries With Medical Services |
202 |
Total Medical Submitted Charge Amount |
182151 |
Total Medical Medicare Allowed Amount |
60245.44 |
Total Medical Medicare Payment Amount |
45319.73 |
Total Medical Medicare Standardized Payment Amount |
47671.52 |
Average Age Of Beneficiaries |
72 |
Number Of Beneficiaries Age Less65 |
35 |
Number Of Beneficiaries Age 65 to 74 |
84 |
Number Of Beneficiaries Age 75 to 84 |
51 |
Number Of Beneficiaries Age Greater 84 |
32 |
Number Of Female Beneficiaries |
138 |
Number Of Male Beneficiaries |
64 |
Number Of Non Hispanic White Beneficiaries |
165 |
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 |
170 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
32 |
Percent Of With Atrial Fibrillation |
16 |
Percent Of With Alzheimers Disease or Dementia |
7 |
Percent Of With Asthma |
7 |
Percent Of With Cancer |
9 |
Percent Of With Heart Failure |
18 |
Percent Of With Chronic Kidney Disease |
21 |
Percent Of With Chronic Obstructive Pulmonary Disease |
13 |
Percent Of With Depression |
25 |
Percent Of With Diabetes |
30 |
Percent Of With Hyperlipidemia |
53 |
Percent Of With Hypertension |
64 |
Percent Of With Ischemic Heart Disease |
32 |
Percent Of With Osteoporosis |
12 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
60 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
7 |
Average HCC Risk Score Of Beneficiaries |
1.2836 |