National Provider Identifier [NPI]: |
1164421897 |
Last Name Of The Provider |
KONSENS |
First Name Of The Provider |
RICHARD |
Middle Initial Of The Provider |
M |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
3451 TECHNOLOGICAL AVE |
Street Address 2 Of The Provider |
SUITE 15 |
City Of The Provider |
ORLANDO |
Zip Code Of The Provider |
328178353 |
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 |
7083 |
Number Of Medicare Beneficiaries |
847 |
Total Submitted Charge Amount |
1332159.66 |
Total Medicare Allowed Amount |
382030.91 |
Total Medicare Payment Amount |
277804.82 |
Total Medicare Standardized Payment Amount |
274710.08 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
3 |
Number Of Drug Services |
2553 |
Number Of Medicare Beneficiaries With Drug Services |
395 |
Total Drug Submitted ChargeAmount |
40518.96 |
Total Drug Medicare AllowedAmount |
6878.74 |
Total Drug Medicare PaymentAmount |
5294.38 |
Total Drug Medicare Standardized Payment Amount |
5294.38 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
85 |
Number Of Medical Services |
4530 |
Number Of Medicare Beneficiaries With Medical Services |
847 |
Total Medical Submitted Charge Amount |
1291640.7 |
Total Medical Medicare Allowed Amount |
375152.17 |
Total Medical Medicare Payment Amount |
272510.44 |
Total Medical Medicare Standardized Payment Amount |
269415.7 |
Average Age Of Beneficiaries |
75 |
Number Of Beneficiaries Age Less65 |
57 |
Number Of Beneficiaries Age 65 to 74 |
381 |
Number Of Beneficiaries Age 75 to 84 |
280 |
Number Of Beneficiaries Age Greater 84 |
129 |
Number Of Female Beneficiaries |
537 |
Number Of Male Beneficiaries |
310 |
Number Of Non Hispanic White Beneficiaries |
706 |
Number Of Black or African American Beneficiaries |
54 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
65 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
788 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
59 |
Percent Of With Atrial Fibrillation |
14 |
Percent Of With Alzheimers Disease or Dementia |
8 |
Percent Of With Asthma |
9 |
Percent Of With Cancer |
14 |
Percent Of With Heart Failure |
13 |
Percent Of With Chronic Kidney Disease |
23 |
Percent Of With Chronic Obstructive Pulmonary Disease |
11 |
Percent Of With Depression |
19 |
Percent Of With Diabetes |
32 |
Percent Of With Hyperlipidemia |
73 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
45 |
Percent Of With Osteoporosis |
10 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
75 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
4 |
Average HCC Risk Score Of Beneficiaries |
1.048 |