National Provider Identifier [NPI]: |
1326220526 |
Last Name Of The Provider |
WITTELS |
First Name Of The Provider |
MICHAEL |
Middle Initial Of The Provider |
B |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1085 KANE CONCOURSE |
Street Address 2 Of The Provider |
|
City Of The Provider |
BAY HARBOR ISLANDS |
Zip Code Of The Provider |
331542105 |
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 |
88 |
Number Of Services |
3014 |
Number Of Medicare Beneficiaries |
516 |
Total Submitted Charge Amount |
575916 |
Total Medicare Allowed Amount |
224579.1 |
Total Medicare Payment Amount |
167516.74 |
Total Medicare Standardized Payment Amount |
153150.54 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
341 |
Number Of Medicare Beneficiaries With Drug Services |
44 |
Total Drug Submitted ChargeAmount |
8525 |
Total Drug Medicare AllowedAmount |
3860.15 |
Total Drug Medicare PaymentAmount |
3026.33 |
Total Drug Medicare Standardized Payment Amount |
3026.33 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
86 |
Number Of Medical Services |
2673 |
Number Of Medicare Beneficiaries With Medical Services |
516 |
Total Medical Submitted Charge Amount |
567391 |
Total Medical Medicare Allowed Amount |
220718.95 |
Total Medical Medicare Payment Amount |
164490.41 |
Total Medical Medicare Standardized Payment Amount |
150124.21 |
Average Age Of Beneficiaries |
79 |
Number Of Beneficiaries Age Less65 |
22 |
Number Of Beneficiaries Age 65 to 74 |
187 |
Number Of Beneficiaries Age 75 to 84 |
145 |
Number Of Beneficiaries Age Greater 84 |
162 |
Number Of Female Beneficiaries |
319 |
Number Of Male Beneficiaries |
197 |
Number Of Non Hispanic White Beneficiaries |
387 |
Number Of Black or African American Beneficiaries |
22 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
96 |
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
397 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
119 |
Percent Of With Atrial Fibrillation |
14 |
Percent Of With Alzheimers Disease or Dementia |
24 |
Percent Of With Asthma |
10 |
Percent Of With Cancer |
13 |
Percent Of With Heart Failure |
22 |
Percent Of With Chronic Kidney Disease |
27 |
Percent Of With Chronic Obstructive Pulmonary Disease |
19 |
Percent Of With Depression |
37 |
Percent Of With Diabetes |
39 |
Percent Of With Hyperlipidemia |
72 |
Percent Of With Hypertension |
73 |
Percent Of With Ischemic Heart Disease |
55 |
Percent Of With Osteoporosis |
23 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
74 |
Percent Of With Schizophrenia Other PsychoticDisorders |
7 |
Percent Of With Stroke |
8 |
Average HCC Risk Score Of Beneficiaries |
1.4193 |