National Provider Identifier [NPI]: |
1386857282 |
Last Name Of The Provider |
CRAIG |
First Name Of The Provider |
MATTHEW |
Middle Initial Of The Provider |
R |
Credentials Of The Provider |
M.D., M.S. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
2400 MARYLAND RD |
Street Address 2 Of The Provider |
SUITE 20 |
City Of The Provider |
WILLOW GROVE |
Zip Code Of The Provider |
190901700 |
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 |
141 |
Number Of Services |
2467 |
Number Of Medicare Beneficiaries |
483 |
Total Submitted Charge Amount |
551260.5 |
Total Medicare Allowed Amount |
238059.23 |
Total Medicare Payment Amount |
183640.23 |
Total Medicare Standardized Payment Amount |
170851.62 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
4 |
Number Of Drug Services |
750 |
Number Of Medicare Beneficiaries With Drug Services |
46 |
Total Drug Submitted ChargeAmount |
25799.5 |
Total Drug Medicare AllowedAmount |
9860.92 |
Total Drug Medicare PaymentAmount |
7722.81 |
Total Drug Medicare Standardized Payment Amount |
7722.81 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
137 |
Number Of Medical Services |
1717 |
Number Of Medicare Beneficiaries With Medical Services |
483 |
Total Medical Submitted Charge Amount |
525461 |
Total Medical Medicare Allowed Amount |
228198.31 |
Total Medical Medicare Payment Amount |
175917.42 |
Total Medical Medicare Standardized Payment Amount |
163128.81 |
Average Age Of Beneficiaries |
75 |
Number Of Beneficiaries Age Less65 |
42 |
Number Of Beneficiaries Age 65 to 74 |
204 |
Number Of Beneficiaries Age 75 to 84 |
143 |
Number Of Beneficiaries Age Greater 84 |
94 |
Number Of Female Beneficiaries |
335 |
Number Of Male Beneficiaries |
148 |
Number Of Non Hispanic White Beneficiaries |
430 |
Number Of Black or African American Beneficiaries |
40 |
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 |
439 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
44 |
Percent Of With Atrial Fibrillation |
16 |
Percent Of With Alzheimers Disease or Dementia |
17 |
Percent Of With Asthma |
7 |
Percent Of With Cancer |
11 |
Percent Of With Heart Failure |
20 |
Percent Of With Chronic Kidney Disease |
25 |
Percent Of With Chronic Obstructive Pulmonary Disease |
12 |
Percent Of With Depression |
31 |
Percent Of With Diabetes |
28 |
Percent Of With Hyperlipidemia |
64 |
Percent Of With Hypertension |
73 |
Percent Of With Ischemic Heart Disease |
34 |
Percent Of With Osteoporosis |
21 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
60 |
Percent Of With Schizophrenia Other PsychoticDisorders |
5 |
Percent Of With Stroke |
8 |
Average HCC Risk Score Of Beneficiaries |
1.4026 |