National Provider Identifier [NPI]: |
1790890895 |
Last Name Of The Provider |
RUDZKI |
First Name Of The Provider |
JONAS |
Middle Initial Of The Provider |
R |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
2021 K ST NW |
Street Address 2 Of The Provider |
SUITE 400 |
City Of The Provider |
WASHINGTON |
Zip Code Of The Provider |
200061003 |
State Code Of The Provider |
DC |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Orthopedic Surgery |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
66 |
Number Of Services |
2577 |
Number Of Medicare Beneficiaries |
580 |
Total Submitted Charge Amount |
614242 |
Total Medicare Allowed Amount |
181619.82 |
Total Medicare Payment Amount |
135072.1 |
Total Medicare Standardized Payment Amount |
118701.13 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
317 |
Number Of Medicare Beneficiaries With Drug Services |
11 |
Total Drug Submitted ChargeAmount |
5099 |
Total Drug Medicare AllowedAmount |
3613.99 |
Total Drug Medicare PaymentAmount |
2833.37 |
Total Drug Medicare Standardized Payment Amount |
2833.37 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
64 |
Number Of Medical Services |
2260 |
Number Of Medicare Beneficiaries With Medical Services |
580 |
Total Medical Submitted Charge Amount |
609143 |
Total Medical Medicare Allowed Amount |
178005.83 |
Total Medical Medicare Payment Amount |
132238.73 |
Total Medical Medicare Standardized Payment Amount |
115867.76 |
Average Age Of Beneficiaries |
75 |
Number Of Beneficiaries Age Less65 |
|
Number Of Beneficiaries Age 65 to 74 |
311 |
Number Of Beneficiaries Age 75 to 84 |
194 |
Number Of Beneficiaries Age Greater 84 |
|
Number Of Female Beneficiaries |
335 |
Number Of Male Beneficiaries |
245 |
Number Of Non Hispanic White Beneficiaries |
483 |
Number Of Black or African American Beneficiaries |
49 |
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 |
30 |
Number Of Beneficiaries With Medicare Only Entitlement |
567 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
13 |
Percent Of With Atrial Fibrillation |
9 |
Percent Of With Alzheimers Disease or Dementia |
8 |
Percent Of With Asthma |
7 |
Percent Of With Cancer |
14 |
Percent Of With Heart Failure |
9 |
Percent Of With Chronic Kidney Disease |
9 |
Percent Of With Chronic Obstructive Pulmonary Disease |
6 |
Percent Of With Depression |
11 |
Percent Of With Diabetes |
15 |
Percent Of With Hyperlipidemia |
42 |
Percent Of With Hypertension |
47 |
Percent Of With Ischemic Heart Disease |
26 |
Percent Of With Osteoporosis |
9 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
61 |
Percent Of With Schizophrenia Other PsychoticDisorders |
2 |
Percent Of With Stroke |
3 |
Average HCC Risk Score Of Beneficiaries |
0.8428 |