National Provider Identifier [NPI]: |
1790795409 |
Last Name Of The Provider |
MENKOWITZ |
First Name Of The Provider |
BRUCE |
Middle Initial Of The Provider |
J |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1401 DEKALB ST |
Street Address 2 Of The Provider |
|
City Of The Provider |
NORRISTOWN |
Zip Code Of The Provider |
194013426 |
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 |
97 |
Number Of Services |
5507 |
Number Of Medicare Beneficiaries |
683 |
Total Submitted Charge Amount |
902368 |
Total Medicare Allowed Amount |
367000.86 |
Total Medicare Payment Amount |
276584.4 |
Total Medicare Standardized Payment Amount |
254419.1 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
4 |
Number Of Drug Services |
2527 |
Number Of Medicare Beneficiaries With Drug Services |
203 |
Total Drug Submitted ChargeAmount |
40384 |
Total Drug Medicare AllowedAmount |
30368.87 |
Total Drug Medicare PaymentAmount |
23761.07 |
Total Drug Medicare Standardized Payment Amount |
23761.07 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
93 |
Number Of Medical Services |
2980 |
Number Of Medicare Beneficiaries With Medical Services |
683 |
Total Medical Submitted Charge Amount |
861984 |
Total Medical Medicare Allowed Amount |
336631.99 |
Total Medical Medicare Payment Amount |
252823.33 |
Total Medical Medicare Standardized Payment Amount |
230658.03 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
84 |
Number Of Beneficiaries Age 65 to 74 |
291 |
Number Of Beneficiaries Age 75 to 84 |
199 |
Number Of Beneficiaries Age Greater 84 |
109 |
Number Of Female Beneficiaries |
427 |
Number Of Male Beneficiaries |
256 |
Number Of Non Hispanic White Beneficiaries |
593 |
Number Of Black or African American Beneficiaries |
61 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
12 |
Number Of Beneficiaries With Medicare Only Entitlement |
589 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
94 |
Percent Of With Atrial Fibrillation |
14 |
Percent Of With Alzheimers Disease or Dementia |
9 |
Percent Of With Asthma |
10 |
Percent Of With Cancer |
11 |
Percent Of With Heart Failure |
16 |
Percent Of With Chronic Kidney Disease |
18 |
Percent Of With Chronic Obstructive Pulmonary Disease |
11 |
Percent Of With Depression |
22 |
Percent Of With Diabetes |
30 |
Percent Of With Hyperlipidemia |
64 |
Percent Of With Hypertension |
74 |
Percent Of With Ischemic Heart Disease |
45 |
Percent Of With Osteoporosis |
10 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
75 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
7 |
Average HCC Risk Score Of Beneficiaries |
1.1344 |