National Provider Identifier [NPI]: |
1952391609 |
Last Name Of The Provider |
ADEY |
First Name Of The Provider |
LAUREN |
Middle Initial Of The Provider |
P |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
690 MINOT AVE |
Street Address 2 Of The Provider |
SUITE ONE |
City Of The Provider |
AUBURN |
Zip Code Of The Provider |
042103922 |
State Code Of The Provider |
ME |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Orthopedic Surgery |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
89 |
Number Of Services |
2151 |
Number Of Medicare Beneficiaries |
419 |
Total Submitted Charge Amount |
515733.06 |
Total Medicare Allowed Amount |
184479.52 |
Total Medicare Payment Amount |
138934.02 |
Total Medicare Standardized Payment Amount |
147771.79 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
3 |
Number Of Drug Services |
998 |
Number Of Medicare Beneficiaries With Drug Services |
86 |
Total Drug Submitted ChargeAmount |
38103 |
Total Drug Medicare AllowedAmount |
34909.57 |
Total Drug Medicare PaymentAmount |
27315.08 |
Total Drug Medicare Standardized Payment Amount |
27315.08 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
86 |
Number Of Medical Services |
1153 |
Number Of Medicare Beneficiaries With Medical Services |
419 |
Total Medical Submitted Charge Amount |
477630.06 |
Total Medical Medicare Allowed Amount |
149569.95 |
Total Medical Medicare Payment Amount |
111618.94 |
Total Medical Medicare Standardized Payment Amount |
120456.71 |
Average Age Of Beneficiaries |
66 |
Number Of Beneficiaries Age Less65 |
152 |
Number Of Beneficiaries Age 65 to 74 |
138 |
Number Of Beneficiaries Age 75 to 84 |
86 |
Number Of Beneficiaries Age Greater 84 |
43 |
Number Of Female Beneficiaries |
264 |
Number Of Male Beneficiaries |
155 |
Number Of Non Hispanic White Beneficiaries |
402 |
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 |
223 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
196 |
Percent Of With Atrial Fibrillation |
6 |
Percent Of With Alzheimers Disease or Dementia |
|
Percent Of With Asthma |
10 |
Percent Of With Cancer |
6 |
Percent Of With Heart Failure |
9 |
Percent Of With Chronic Kidney Disease |
15 |
Percent Of With Chronic Obstructive Pulmonary Disease |
15 |
Percent Of With Depression |
35 |
Percent Of With Diabetes |
32 |
Percent Of With Hyperlipidemia |
51 |
Percent Of With Hypertension |
58 |
Percent Of With Ischemic Heart Disease |
23 |
Percent Of With Osteoporosis |
5 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
41 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
3 |
Average HCC Risk Score Of Beneficiaries |
1.0498 |