National Provider Identifier [NPI]: |
1245222926 |
Last Name Of The Provider |
HAWK |
First Name Of The Provider |
GREGOR |
Middle Initial Of The Provider |
M |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
250 CETRONIA ROAD |
Street Address 2 Of The Provider |
SUITE 303 |
City Of The Provider |
ALLENTOWN |
Zip Code Of The Provider |
181069168 |
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 |
96 |
Number Of Services |
3529 |
Number Of Medicare Beneficiaries |
560 |
Total Submitted Charge Amount |
1505254 |
Total Medicare Allowed Amount |
399125.01 |
Total Medicare Payment Amount |
296117.91 |
Total Medicare Standardized Payment Amount |
311966.5 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
6 |
Number Of Drug Services |
821 |
Number Of Medicare Beneficiaries With Drug Services |
279 |
Total Drug Submitted ChargeAmount |
39654 |
Total Drug Medicare AllowedAmount |
21311.65 |
Total Drug Medicare PaymentAmount |
16695.12 |
Total Drug Medicare Standardized Payment Amount |
16695.12 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
90 |
Number Of Medical Services |
2708 |
Number Of Medicare Beneficiaries With Medical Services |
560 |
Total Medical Submitted Charge Amount |
1465600 |
Total Medical Medicare Allowed Amount |
377813.36 |
Total Medical Medicare Payment Amount |
279422.79 |
Total Medical Medicare Standardized Payment Amount |
295271.38 |
Average Age Of Beneficiaries |
72 |
Number Of Beneficiaries Age Less65 |
52 |
Number Of Beneficiaries Age 65 to 74 |
301 |
Number Of Beneficiaries Age 75 to 84 |
155 |
Number Of Beneficiaries Age Greater 84 |
52 |
Number Of Female Beneficiaries |
343 |
Number Of Male Beneficiaries |
217 |
Number Of Non Hispanic White Beneficiaries |
529 |
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 |
524 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
36 |
Percent Of With Atrial Fibrillation |
11 |
Percent Of With Alzheimers Disease or Dementia |
5 |
Percent Of With Asthma |
7 |
Percent Of With Cancer |
14 |
Percent Of With Heart Failure |
12 |
Percent Of With Chronic Kidney Disease |
15 |
Percent Of With Chronic Obstructive Pulmonary Disease |
8 |
Percent Of With Depression |
23 |
Percent Of With Diabetes |
27 |
Percent Of With Hyperlipidemia |
67 |
Percent Of With Hypertension |
73 |
Percent Of With Ischemic Heart Disease |
34 |
Percent Of With Osteoporosis |
12 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
75 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
3 |
Average HCC Risk Score Of Beneficiaries |
1.0657 |