National Provider Identifier [NPI]: |
1114955689 |
Last Name Of The Provider |
BEREDJIKLIAN |
First Name Of The Provider |
PEDRO |
Middle Initial Of The Provider |
K |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
925 CHESTNUT ST |
Street Address 2 Of The Provider |
FIFTH FLOOR |
City Of The Provider |
PHILADELPHIA |
Zip Code Of The Provider |
191074216 |
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 |
100 |
Number Of Services |
2943 |
Number Of Medicare Beneficiaries |
739 |
Total Submitted Charge Amount |
1222507 |
Total Medicare Allowed Amount |
380612.81 |
Total Medicare Payment Amount |
287908.44 |
Total Medicare Standardized Payment Amount |
254852.74 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
1 |
Number Of Drug Services |
273 |
Number Of Medicare Beneficiaries With Drug Services |
210 |
Total Drug Submitted ChargeAmount |
819 |
Total Drug Medicare AllowedAmount |
486.19 |
Total Drug Medicare PaymentAmount |
376.84 |
Total Drug Medicare Standardized Payment Amount |
376.84 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
99 |
Number Of Medical Services |
2670 |
Number Of Medicare Beneficiaries With Medical Services |
739 |
Total Medical Submitted Charge Amount |
1221688 |
Total Medical Medicare Allowed Amount |
380126.62 |
Total Medical Medicare Payment Amount |
287531.6 |
Total Medical Medicare Standardized Payment Amount |
254475.9 |
Average Age Of Beneficiaries |
72 |
Number Of Beneficiaries Age Less65 |
78 |
Number Of Beneficiaries Age 65 to 74 |
404 |
Number Of Beneficiaries Age 75 to 84 |
188 |
Number Of Beneficiaries Age Greater 84 |
69 |
Number Of Female Beneficiaries |
463 |
Number Of Male Beneficiaries |
276 |
Number Of Non Hispanic White Beneficiaries |
633 |
Number Of Black or African American Beneficiaries |
63 |
Number Of AsianPacific Islander Beneficiaries |
13 |
Number Of Hispanic Beneficiaries |
16 |
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
14 |
Number Of Beneficiaries With Medicare Only Entitlement |
684 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
55 |
Percent Of With Atrial Fibrillation |
7 |
Percent Of With Alzheimers Disease or Dementia |
8 |
Percent Of With Asthma |
9 |
Percent Of With Cancer |
10 |
Percent Of With Heart Failure |
11 |
Percent Of With Chronic Kidney Disease |
14 |
Percent Of With Chronic Obstructive Pulmonary Disease |
9 |
Percent Of With Depression |
20 |
Percent Of With Diabetes |
27 |
Percent Of With Hyperlipidemia |
62 |
Percent Of With Hypertension |
62 |
Percent Of With Ischemic Heart Disease |
29 |
Percent Of With Osteoporosis |
9 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
59 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
1.0443 |