National Provider Identifier [NPI]: |
1518948835 |
Last Name Of The Provider |
MAHONEY |
First Name Of The Provider |
ORMONDE |
Middle Initial Of The Provider |
M |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1765 OLD WEST BROAD ST |
Street Address 2 Of The Provider |
BLDG 2, STE 200 |
City Of The Provider |
ATHENS |
Zip Code Of The Provider |
306062853 |
State Code Of The Provider |
GA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Orthopedic Surgery |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
97 |
Number Of Services |
11857 |
Number Of Medicare Beneficiaries |
1213 |
Total Submitted Charge Amount |
3725130.24 |
Total Medicare Allowed Amount |
825603.64 |
Total Medicare Payment Amount |
623335.56 |
Total Medicare Standardized Payment Amount |
657199.53 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
5 |
Number Of Drug Services |
6598 |
Number Of Medicare Beneficiaries With Drug Services |
334 |
Total Drug Submitted ChargeAmount |
121649.24 |
Total Drug Medicare AllowedAmount |
78520.74 |
Total Drug Medicare PaymentAmount |
61004.96 |
Total Drug Medicare Standardized Payment Amount |
61004.96 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
92 |
Number Of Medical Services |
5259 |
Number Of Medicare Beneficiaries With Medical Services |
1213 |
Total Medical Submitted Charge Amount |
3603481 |
Total Medical Medicare Allowed Amount |
747082.9 |
Total Medical Medicare Payment Amount |
562330.6 |
Total Medical Medicare Standardized Payment Amount |
596194.57 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
94 |
Number Of Beneficiaries Age 65 to 74 |
622 |
Number Of Beneficiaries Age 75 to 84 |
404 |
Number Of Beneficiaries Age Greater 84 |
93 |
Number Of Female Beneficiaries |
746 |
Number Of Male Beneficiaries |
467 |
Number Of Non Hispanic White Beneficiaries |
1109 |
Number Of Black or African American Beneficiaries |
88 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
1085 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
128 |
Percent Of With Atrial Fibrillation |
11 |
Percent Of With Alzheimers Disease or Dementia |
8 |
Percent Of With Asthma |
7 |
Percent Of With Cancer |
11 |
Percent Of With Heart Failure |
14 |
Percent Of With Chronic Kidney Disease |
20 |
Percent Of With Chronic Obstructive Pulmonary Disease |
9 |
Percent Of With Depression |
20 |
Percent Of With Diabetes |
30 |
Percent Of With Hyperlipidemia |
56 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
29 |
Percent Of With Osteoporosis |
6 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
75 |
Percent Of With Schizophrenia Other PsychoticDisorders |
1 |
Percent Of With Stroke |
4 |
Average HCC Risk Score Of Beneficiaries |
1.0028 |