National Provider Identifier [NPI]: |
1114199718 |
Last Name Of The Provider |
HIRSHORN |
First Name Of The Provider |
KURT |
Middle Initial Of The Provider |
C |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
4600 4TH STREET NORTH |
Street Address 2 Of The Provider |
ALL FLORIDA ORTHOPAEDIC ASSOCIATES |
City Of The Provider |
SAINT PETERSBURG |
Zip Code Of The Provider |
337033802 |
State Code Of The Provider |
FL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Orthopedic Surgery |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
167 |
Number Of Services |
2881 |
Number Of Medicare Beneficiaries |
563 |
Total Submitted Charge Amount |
1666126 |
Total Medicare Allowed Amount |
328288.2 |
Total Medicare Payment Amount |
245948.35 |
Total Medicare Standardized Payment Amount |
249157.52 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
5 |
Number Of Drug Services |
298 |
Number Of Medicare Beneficiaries With Drug Services |
103 |
Total Drug Submitted ChargeAmount |
8825 |
Total Drug Medicare AllowedAmount |
2521.8 |
Total Drug Medicare PaymentAmount |
1965.27 |
Total Drug Medicare Standardized Payment Amount |
1965.27 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
162 |
Number Of Medical Services |
2583 |
Number Of Medicare Beneficiaries With Medical Services |
563 |
Total Medical Submitted Charge Amount |
1657301 |
Total Medical Medicare Allowed Amount |
325766.4 |
Total Medical Medicare Payment Amount |
243983.08 |
Total Medical Medicare Standardized Payment Amount |
247192.25 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
82 |
Number Of Beneficiaries Age 65 to 74 |
225 |
Number Of Beneficiaries Age 75 to 84 |
146 |
Number Of Beneficiaries Age Greater 84 |
110 |
Number Of Female Beneficiaries |
373 |
Number Of Male Beneficiaries |
190 |
Number Of Non Hispanic White Beneficiaries |
481 |
Number Of Black or African American Beneficiaries |
47 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
24 |
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
410 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
153 |
Percent Of With Atrial Fibrillation |
13 |
Percent Of With Alzheimers Disease or Dementia |
24 |
Percent Of With Asthma |
10 |
Percent Of With Cancer |
11 |
Percent Of With Heart Failure |
20 |
Percent Of With Chronic Kidney Disease |
28 |
Percent Of With Chronic Obstructive Pulmonary Disease |
23 |
Percent Of With Depression |
32 |
Percent Of With Diabetes |
31 |
Percent Of With Hyperlipidemia |
63 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
38 |
Percent Of With Osteoporosis |
15 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
59 |
Percent Of With Schizophrenia Other PsychoticDisorders |
11 |
Percent Of With Stroke |
6 |
Average HCC Risk Score Of Beneficiaries |
1.635 |