National Provider Identifier [NPI]: |
1679775167 |
Last Name Of The Provider |
BAKER |
First Name Of The Provider |
CHRISTOPHER |
Middle Initial Of The Provider |
E |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
13020 N TELECOM PKWY |
Street Address 2 Of The Provider |
|
City Of The Provider |
TEMPLE TERRACE |
Zip Code Of The Provider |
336370925 |
State Code Of The Provider |
FL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Orthopedic Surgery |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
128 |
Number Of Services |
3218 |
Number Of Medicare Beneficiaries |
427 |
Total Submitted Charge Amount |
1211575.43 |
Total Medicare Allowed Amount |
266654.02 |
Total Medicare Payment Amount |
204424.82 |
Total Medicare Standardized Payment Amount |
200722.95 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
4 |
Number Of Drug Services |
1451 |
Number Of Medicare Beneficiaries With Drug Services |
181 |
Total Drug Submitted ChargeAmount |
13328.45 |
Total Drug Medicare AllowedAmount |
5083.93 |
Total Drug Medicare PaymentAmount |
3974.22 |
Total Drug Medicare Standardized Payment Amount |
3974.22 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
124 |
Number Of Medical Services |
1767 |
Number Of Medicare Beneficiaries With Medical Services |
427 |
Total Medical Submitted Charge Amount |
1198246.98 |
Total Medical Medicare Allowed Amount |
261570.09 |
Total Medical Medicare Payment Amount |
200450.6 |
Total Medical Medicare Standardized Payment Amount |
196748.73 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
53 |
Number Of Beneficiaries Age 65 to 74 |
171 |
Number Of Beneficiaries Age 75 to 84 |
134 |
Number Of Beneficiaries Age Greater 84 |
69 |
Number Of Female Beneficiaries |
276 |
Number Of Male Beneficiaries |
151 |
Number Of Non Hispanic White Beneficiaries |
372 |
Number Of Black or African American Beneficiaries |
23 |
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 |
352 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
75 |
Percent Of With Atrial Fibrillation |
15 |
Percent Of With Alzheimers Disease or Dementia |
21 |
Percent Of With Asthma |
10 |
Percent Of With Cancer |
11 |
Percent Of With Heart Failure |
25 |
Percent Of With Chronic Kidney Disease |
26 |
Percent Of With Chronic Obstructive Pulmonary Disease |
21 |
Percent Of With Depression |
34 |
Percent Of With Diabetes |
37 |
Percent Of With Hyperlipidemia |
67 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
54 |
Percent Of With Osteoporosis |
15 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
68 |
Percent Of With Schizophrenia Other PsychoticDisorders |
7 |
Percent Of With Stroke |
8 |
Average HCC Risk Score Of Beneficiaries |
1.3858 |