National Provider Identifier [NPI]: |
1295723302 |
Last Name Of The Provider |
FRIEDERICH |
First Name Of The Provider |
JAMES |
Middle Initial Of The Provider |
A |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1215 DUFF AVE |
Street Address 2 Of The Provider |
|
City Of The Provider |
AMES |
Zip Code Of The Provider |
500105400 |
State Code Of The Provider |
IA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Orthopedic Surgery |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
105 |
Number Of Services |
2995 |
Number Of Medicare Beneficiaries |
550 |
Total Submitted Charge Amount |
531379.08 |
Total Medicare Allowed Amount |
203717.22 |
Total Medicare Payment Amount |
153707.41 |
Total Medicare Standardized Payment Amount |
163406.49 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
4 |
Number Of Drug Services |
1529 |
Number Of Medicare Beneficiaries With Drug Services |
286 |
Total Drug Submitted ChargeAmount |
70751 |
Total Drug Medicare AllowedAmount |
42924.96 |
Total Drug Medicare PaymentAmount |
33453.42 |
Total Drug Medicare Standardized Payment Amount |
33453.42 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
101 |
Number Of Medical Services |
1466 |
Number Of Medicare Beneficiaries With Medical Services |
550 |
Total Medical Submitted Charge Amount |
460628.08 |
Total Medical Medicare Allowed Amount |
160792.26 |
Total Medical Medicare Payment Amount |
120253.99 |
Total Medical Medicare Standardized Payment Amount |
129953.07 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
53 |
Number Of Beneficiaries Age 65 to 74 |
261 |
Number Of Beneficiaries Age 75 to 84 |
167 |
Number Of Beneficiaries Age Greater 84 |
69 |
Number Of Female Beneficiaries |
337 |
Number Of Male Beneficiaries |
213 |
Number Of Non Hispanic White Beneficiaries |
537 |
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 |
492 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
58 |
Percent Of With Atrial Fibrillation |
9 |
Percent Of With Alzheimers Disease or Dementia |
5 |
Percent Of With Asthma |
8 |
Percent Of With Cancer |
7 |
Percent Of With Heart Failure |
11 |
Percent Of With Chronic Kidney Disease |
14 |
Percent Of With Chronic Obstructive Pulmonary Disease |
10 |
Percent Of With Depression |
20 |
Percent Of With Diabetes |
28 |
Percent Of With Hyperlipidemia |
59 |
Percent Of With Hypertension |
64 |
Percent Of With Ischemic Heart Disease |
27 |
Percent Of With Osteoporosis |
8 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
48 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
3 |
Average HCC Risk Score Of Beneficiaries |
0.9801 |