National Provider Identifier [NPI]: |
1376526475 |
Last Name Of The Provider |
CRAFT |
First Name Of The Provider |
DAVID |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
2400 MARYLAND RD |
Street Address 2 Of The Provider |
SUITE 20 |
City Of The Provider |
WILLOW GROVE |
Zip Code Of The Provider |
190901700 |
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 |
94 |
Number Of Services |
10195 |
Number Of Medicare Beneficiaries |
979 |
Total Submitted Charge Amount |
1351476 |
Total Medicare Allowed Amount |
464935.76 |
Total Medicare Payment Amount |
355707.68 |
Total Medicare Standardized Payment Amount |
323919.08 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
5 |
Number Of Drug Services |
6752 |
Number Of Medicare Beneficiaries With Drug Services |
364 |
Total Drug Submitted ChargeAmount |
188826 |
Total Drug Medicare AllowedAmount |
73072.49 |
Total Drug Medicare PaymentAmount |
56546.61 |
Total Drug Medicare Standardized Payment Amount |
56546.61 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
89 |
Number Of Medical Services |
3443 |
Number Of Medicare Beneficiaries With Medical Services |
979 |
Total Medical Submitted Charge Amount |
1162650 |
Total Medical Medicare Allowed Amount |
391863.27 |
Total Medical Medicare Payment Amount |
299161.07 |
Total Medical Medicare Standardized Payment Amount |
267372.47 |
Average Age Of Beneficiaries |
75 |
Number Of Beneficiaries Age Less65 |
56 |
Number Of Beneficiaries Age 65 to 74 |
459 |
Number Of Beneficiaries Age 75 to 84 |
327 |
Number Of Beneficiaries Age Greater 84 |
137 |
Number Of Female Beneficiaries |
609 |
Number Of Male Beneficiaries |
370 |
Number Of Non Hispanic White Beneficiaries |
894 |
Number Of Black or African American Beneficiaries |
48 |
Number Of AsianPacific Islander Beneficiaries |
14 |
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 |
938 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
41 |
Percent Of With Atrial Fibrillation |
13 |
Percent Of With Alzheimers Disease or Dementia |
7 |
Percent Of With Asthma |
6 |
Percent Of With Cancer |
14 |
Percent Of With Heart Failure |
13 |
Percent Of With Chronic Kidney Disease |
17 |
Percent Of With Chronic Obstructive Pulmonary Disease |
8 |
Percent Of With Depression |
20 |
Percent Of With Diabetes |
21 |
Percent Of With Hyperlipidemia |
68 |
Percent Of With Hypertension |
72 |
Percent Of With Ischemic Heart Disease |
31 |
Percent Of With Osteoporosis |
14 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
75 |
Percent Of With Schizophrenia Other PsychoticDisorders |
2 |
Percent Of With Stroke |
6 |
Average HCC Risk Score Of Beneficiaries |
1.0585 |