National Provider Identifier [NPI]: |
1447438338 |
Last Name Of The Provider |
REGISTER |
First Name Of The Provider |
BRADLEY |
Middle Initial Of The Provider |
C |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1765 OLD WEST BROAD ST |
Street Address 2 Of The Provider |
BLDG 2, STE 200 |
City Of The Provider |
ATHENS |
Zip Code Of The Provider |
306062853 |
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 |
144 |
Number Of Services |
4126 |
Number Of Medicare Beneficiaries |
706 |
Total Submitted Charge Amount |
931271.84 |
Total Medicare Allowed Amount |
243160.97 |
Total Medicare Payment Amount |
180961.76 |
Total Medicare Standardized Payment Amount |
193840.09 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
5 |
Number Of Drug Services |
1352 |
Number Of Medicare Beneficiaries With Drug Services |
190 |
Total Drug Submitted ChargeAmount |
28960.84 |
Total Drug Medicare AllowedAmount |
15077.19 |
Total Drug Medicare PaymentAmount |
11639 |
Total Drug Medicare Standardized Payment Amount |
11639 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
139 |
Number Of Medical Services |
2774 |
Number Of Medicare Beneficiaries With Medical Services |
706 |
Total Medical Submitted Charge Amount |
902311 |
Total Medical Medicare Allowed Amount |
228083.78 |
Total Medical Medicare Payment Amount |
169322.76 |
Total Medical Medicare Standardized Payment Amount |
182201.09 |
Average Age Of Beneficiaries |
71 |
Number Of Beneficiaries Age Less65 |
113 |
Number Of Beneficiaries Age 65 to 74 |
316 |
Number Of Beneficiaries Age 75 to 84 |
202 |
Number Of Beneficiaries Age Greater 84 |
75 |
Number Of Female Beneficiaries |
449 |
Number Of Male Beneficiaries |
257 |
Number Of Non Hispanic White Beneficiaries |
639 |
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 |
581 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
125 |
Percent Of With Atrial Fibrillation |
10 |
Percent Of With Alzheimers Disease or Dementia |
12 |
Percent Of With Asthma |
6 |
Percent Of With Cancer |
7 |
Percent Of With Heart Failure |
17 |
Percent Of With Chronic Kidney Disease |
22 |
Percent Of With Chronic Obstructive Pulmonary Disease |
13 |
Percent Of With Depression |
26 |
Percent Of With Diabetes |
32 |
Percent Of With Hyperlipidemia |
54 |
Percent Of With Hypertension |
67 |
Percent Of With Ischemic Heart Disease |
30 |
Percent Of With Osteoporosis |
10 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
59 |
Percent Of With Schizophrenia Other PsychoticDisorders |
2 |
Percent Of With Stroke |
6 |
Average HCC Risk Score Of Beneficiaries |
1.1202 |