National Provider Identifier [NPI]: |
1346336088 |
Last Name Of The Provider |
GRAMES |
First Name Of The Provider |
BARRY |
Middle Initial Of The Provider |
S |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1901 WEST LUGONIA AVENUE |
Street Address 2 Of The Provider |
SUITE 120 |
City Of The Provider |
REDLANDS |
Zip Code Of The Provider |
92374 |
State Code Of The Provider |
CA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Orthopedic Surgery |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
65 |
Number Of Services |
681 |
Number Of Medicare Beneficiaries |
158 |
Total Submitted Charge Amount |
215466 |
Total Medicare Allowed Amount |
80524.59 |
Total Medicare Payment Amount |
60937.17 |
Total Medicare Standardized Payment Amount |
59331.89 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
4 |
Number Of Drug Services |
95 |
Number Of Medicare Beneficiaries With Drug Services |
28 |
Total Drug Submitted ChargeAmount |
12802 |
Total Drug Medicare AllowedAmount |
5276.37 |
Total Drug Medicare PaymentAmount |
3790.93 |
Total Drug Medicare Standardized Payment Amount |
3790.93 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
61 |
Number Of Medical Services |
586 |
Number Of Medicare Beneficiaries With Medical Services |
158 |
Total Medical Submitted Charge Amount |
202664 |
Total Medical Medicare Allowed Amount |
75248.22 |
Total Medical Medicare Payment Amount |
57146.24 |
Total Medical Medicare Standardized Payment Amount |
55540.96 |
Average Age Of Beneficiaries |
67 |
Number Of Beneficiaries Age Less65 |
48 |
Number Of Beneficiaries Age 65 to 74 |
59 |
Number Of Beneficiaries Age 75 to 84 |
27 |
Number Of Beneficiaries Age Greater 84 |
24 |
Number Of Female Beneficiaries |
101 |
Number Of Male Beneficiaries |
57 |
Number Of Non Hispanic White Beneficiaries |
95 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
46 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
69 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
89 |
Percent Of With Atrial Fibrillation |
10 |
Percent Of With Alzheimers Disease or Dementia |
11 |
Percent Of With Asthma |
|
Percent Of With Cancer |
8 |
Percent Of With Heart Failure |
27 |
Percent Of With Chronic Kidney Disease |
28 |
Percent Of With Chronic Obstructive Pulmonary Disease |
20 |
Percent Of With Depression |
27 |
Percent Of With Diabetes |
40 |
Percent Of With Hyperlipidemia |
46 |
Percent Of With Hypertension |
66 |
Percent Of With Ischemic Heart Disease |
41 |
Percent Of With Osteoporosis |
11 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
58 |
Percent Of With Schizophrenia Other PsychoticDisorders |
11 |
Percent Of With Stroke |
|
Average HCC Risk Score Of Beneficiaries |
1.8195 |