National Provider Identifier [NPI]: |
1215924162 |
Last Name Of The Provider |
OBRIEN |
First Name Of The Provider |
FRANK |
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 |
390 PIERCE ST |
Street Address 2 Of The Provider |
|
City Of The Provider |
KINGSTON |
Zip Code Of The Provider |
187045532 |
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 |
107 |
Number Of Services |
4033 |
Number Of Medicare Beneficiaries |
671 |
Total Submitted Charge Amount |
801240 |
Total Medicare Allowed Amount |
225017.33 |
Total Medicare Payment Amount |
166723.82 |
Total Medicare Standardized Payment Amount |
175744.39 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
4 |
Number Of Drug Services |
2011 |
Number Of Medicare Beneficiaries With Drug Services |
271 |
Total Drug Submitted ChargeAmount |
41855 |
Total Drug Medicare AllowedAmount |
4177.84 |
Total Drug Medicare PaymentAmount |
2927.25 |
Total Drug Medicare Standardized Payment Amount |
2927.25 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
103 |
Number Of Medical Services |
2022 |
Number Of Medicare Beneficiaries With Medical Services |
671 |
Total Medical Submitted Charge Amount |
759385 |
Total Medical Medicare Allowed Amount |
220839.49 |
Total Medical Medicare Payment Amount |
163796.57 |
Total Medical Medicare Standardized Payment Amount |
172817.14 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
114 |
Number Of Beneficiaries Age 65 to 74 |
221 |
Number Of Beneficiaries Age 75 to 84 |
204 |
Number Of Beneficiaries Age Greater 84 |
132 |
Number Of Female Beneficiaries |
485 |
Number Of Male Beneficiaries |
186 |
Number Of Non Hispanic White Beneficiaries |
648 |
Number Of Black or African American Beneficiaries |
|
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 |
|
Number Of Beneficiaries With Medicare Only Entitlement |
522 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
149 |
Percent Of With Atrial Fibrillation |
15 |
Percent Of With Alzheimers Disease or Dementia |
10 |
Percent Of With Asthma |
8 |
Percent Of With Cancer |
8 |
Percent Of With Heart Failure |
20 |
Percent Of With Chronic Kidney Disease |
23 |
Percent Of With Chronic Obstructive Pulmonary Disease |
17 |
Percent Of With Depression |
21 |
Percent Of With Diabetes |
34 |
Percent Of With Hyperlipidemia |
66 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
50 |
Percent Of With Osteoporosis |
18 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
75 |
Percent Of With Schizophrenia Other PsychoticDisorders |
5 |
Percent Of With Stroke |
7 |
Average HCC Risk Score Of Beneficiaries |
1.3174 |