National Provider Identifier [NPI]: |
1700840527 |
Last Name Of The Provider |
BROGLE |
First Name Of The Provider |
PATRICK |
Middle Initial Of The Provider |
J |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
801 OSTRUM ST |
Street Address 2 Of The Provider |
PPHP2 |
City Of The Provider |
BETHLEHEM |
Zip Code Of The Provider |
180151000 |
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 |
119 |
Number Of Services |
9397 |
Number Of Medicare Beneficiaries |
827 |
Total Submitted Charge Amount |
1046100 |
Total Medicare Allowed Amount |
470858.11 |
Total Medicare Payment Amount |
357655.82 |
Total Medicare Standardized Payment Amount |
359526.42 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
6 |
Number Of Drug Services |
6635 |
Number Of Medicare Beneficiaries With Drug Services |
331 |
Total Drug Submitted ChargeAmount |
151869 |
Total Drug Medicare AllowedAmount |
80425.59 |
Total Drug Medicare PaymentAmount |
62919.06 |
Total Drug Medicare Standardized Payment Amount |
62919.06 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
113 |
Number Of Medical Services |
2762 |
Number Of Medicare Beneficiaries With Medical Services |
827 |
Total Medical Submitted Charge Amount |
894231 |
Total Medical Medicare Allowed Amount |
390432.52 |
Total Medical Medicare Payment Amount |
294736.76 |
Total Medical Medicare Standardized Payment Amount |
296607.36 |
Average Age Of Beneficiaries |
75 |
Number Of Beneficiaries Age Less65 |
104 |
Number Of Beneficiaries Age 65 to 74 |
300 |
Number Of Beneficiaries Age 75 to 84 |
248 |
Number Of Beneficiaries Age Greater 84 |
175 |
Number Of Female Beneficiaries |
518 |
Number Of Male Beneficiaries |
309 |
Number Of Non Hispanic White Beneficiaries |
765 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
38 |
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
700 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
127 |
Percent Of With Atrial Fibrillation |
19 |
Percent Of With Alzheimers Disease or Dementia |
17 |
Percent Of With Asthma |
10 |
Percent Of With Cancer |
13 |
Percent Of With Heart Failure |
22 |
Percent Of With Chronic Kidney Disease |
29 |
Percent Of With Chronic Obstructive Pulmonary Disease |
15 |
Percent Of With Depression |
35 |
Percent Of With Diabetes |
33 |
Percent Of With Hyperlipidemia |
68 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
41 |
Percent Of With Osteoporosis |
13 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
75 |
Percent Of With Schizophrenia Other PsychoticDisorders |
8 |
Percent Of With Stroke |
9 |
Average HCC Risk Score Of Beneficiaries |
1.5454 |