National Provider Identifier [NPI]: |
1174524839 |
Last Name Of The Provider |
ORENSTEIN |
First Name Of The Provider |
ERIC |
Middle Initial Of The Provider |
M |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
2600 FERRY ST |
Street Address 2 Of The Provider |
|
City Of The Provider |
LAFAYETTE |
Zip Code Of The Provider |
479043055 |
State Code Of The Provider |
IN |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Orthopedic Surgery |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
102 |
Number Of Services |
1892 |
Number Of Medicare Beneficiaries |
516 |
Total Submitted Charge Amount |
765110.75 |
Total Medicare Allowed Amount |
217238.66 |
Total Medicare Payment Amount |
166073.09 |
Total Medicare Standardized Payment Amount |
175945.86 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
811 |
Number Of Medicare Beneficiaries With Drug Services |
134 |
Total Drug Submitted ChargeAmount |
14073 |
Total Drug Medicare AllowedAmount |
8493.03 |
Total Drug Medicare PaymentAmount |
6606.19 |
Total Drug Medicare Standardized Payment Amount |
6606.19 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
100 |
Number Of Medical Services |
1081 |
Number Of Medicare Beneficiaries With Medical Services |
516 |
Total Medical Submitted Charge Amount |
751037.75 |
Total Medical Medicare Allowed Amount |
208745.63 |
Total Medical Medicare Payment Amount |
159466.9 |
Total Medical Medicare Standardized Payment Amount |
169339.67 |
Average Age Of Beneficiaries |
70 |
Number Of Beneficiaries Age Less65 |
130 |
Number Of Beneficiaries Age 65 to 74 |
180 |
Number Of Beneficiaries Age 75 to 84 |
121 |
Number Of Beneficiaries Age Greater 84 |
85 |
Number Of Female Beneficiaries |
323 |
Number Of Male Beneficiaries |
193 |
Number Of Non Hispanic White Beneficiaries |
498 |
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 |
365 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
151 |
Percent Of With Atrial Fibrillation |
11 |
Percent Of With Alzheimers Disease or Dementia |
13 |
Percent Of With Asthma |
12 |
Percent Of With Cancer |
9 |
Percent Of With Heart Failure |
18 |
Percent Of With Chronic Kidney Disease |
34 |
Percent Of With Chronic Obstructive Pulmonary Disease |
18 |
Percent Of With Depression |
36 |
Percent Of With Diabetes |
34 |
Percent Of With Hyperlipidemia |
56 |
Percent Of With Hypertension |
70 |
Percent Of With Ischemic Heart Disease |
34 |
Percent Of With Osteoporosis |
10 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
60 |
Percent Of With Schizophrenia Other PsychoticDisorders |
10 |
Percent Of With Stroke |
6 |
Average HCC Risk Score Of Beneficiaries |
1.3041 |