National Provider Identifier [NPI]: |
1144290511 |
Last Name Of The Provider |
FRNDAK |
First Name Of The Provider |
PHILIP |
Middle Initial Of The Provider |
A |
Credentials Of The Provider |
D.O. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
640 ALDEN ST |
Street Address 2 Of The Provider |
|
City Of The Provider |
MEADVILLE |
Zip Code Of The Provider |
163352348 |
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 |
92 |
Number Of Services |
10231 |
Number Of Medicare Beneficiaries |
1490 |
Total Submitted Charge Amount |
1911835 |
Total Medicare Allowed Amount |
599600.25 |
Total Medicare Payment Amount |
446511.89 |
Total Medicare Standardized Payment Amount |
431648.96 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
5 |
Number Of Drug Services |
5281 |
Number Of Medicare Beneficiaries With Drug Services |
654 |
Total Drug Submitted ChargeAmount |
81665 |
Total Drug Medicare AllowedAmount |
44489.5 |
Total Drug Medicare PaymentAmount |
33811.79 |
Total Drug Medicare Standardized Payment Amount |
33811.79 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
87 |
Number Of Medical Services |
4950 |
Number Of Medicare Beneficiaries With Medical Services |
1488 |
Total Medical Submitted Charge Amount |
1830170 |
Total Medical Medicare Allowed Amount |
555110.75 |
Total Medical Medicare Payment Amount |
412700.1 |
Total Medical Medicare Standardized Payment Amount |
397837.17 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
192 |
Number Of Beneficiaries Age 65 to 74 |
675 |
Number Of Beneficiaries Age 75 to 84 |
441 |
Number Of Beneficiaries Age Greater 84 |
182 |
Number Of Female Beneficiaries |
959 |
Number Of Male Beneficiaries |
531 |
Number Of Non Hispanic White Beneficiaries |
1452 |
Number Of Black or African American Beneficiaries |
|
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 |
15 |
Number Of Beneficiaries With Medicare Only Entitlement |
1245 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
245 |
Percent Of With Atrial Fibrillation |
10 |
Percent Of With Alzheimers Disease or Dementia |
14 |
Percent Of With Asthma |
6 |
Percent Of With Cancer |
8 |
Percent Of With Heart Failure |
14 |
Percent Of With Chronic Kidney Disease |
16 |
Percent Of With Chronic Obstructive Pulmonary Disease |
11 |
Percent Of With Depression |
23 |
Percent Of With Diabetes |
32 |
Percent Of With Hyperlipidemia |
55 |
Percent Of With Hypertension |
71 |
Percent Of With Ischemic Heart Disease |
31 |
Percent Of With Osteoporosis |
14 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
75 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
3 |
Average HCC Risk Score Of Beneficiaries |
1.008 |