National Provider Identifier [NPI]: |
1841234788 |
Last Name Of The Provider |
LIPPE |
First Name Of The Provider |
ROBERT |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
36 LINCOLN AVE |
Street Address 2 Of The Provider |
|
City Of The Provider |
ROCKVILLE CENTRE |
Zip Code Of The Provider |
115705768 |
State Code Of The Provider |
NY |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Orthopedic Surgery |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
73 |
Number Of Services |
5317 |
Number Of Medicare Beneficiaries |
825 |
Total Submitted Charge Amount |
514455.87 |
Total Medicare Allowed Amount |
425247.46 |
Total Medicare Payment Amount |
324124.98 |
Total Medicare Standardized Payment Amount |
284487.12 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
7 |
Number Of Drug Services |
1184 |
Number Of Medicare Beneficiaries With Drug Services |
366 |
Total Drug Submitted ChargeAmount |
110841.53 |
Total Drug Medicare AllowedAmount |
103529.64 |
Total Drug Medicare PaymentAmount |
81039.08 |
Total Drug Medicare Standardized Payment Amount |
81039.08 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
66 |
Number Of Medical Services |
4133 |
Number Of Medicare Beneficiaries With Medical Services |
825 |
Total Medical Submitted Charge Amount |
403614.34 |
Total Medical Medicare Allowed Amount |
321717.82 |
Total Medical Medicare Payment Amount |
243085.9 |
Total Medical Medicare Standardized Payment Amount |
203448.04 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
88 |
Number Of Beneficiaries Age 65 to 74 |
352 |
Number Of Beneficiaries Age 75 to 84 |
243 |
Number Of Beneficiaries Age Greater 84 |
142 |
Number Of Female Beneficiaries |
516 |
Number Of Male Beneficiaries |
309 |
Number Of Non Hispanic White Beneficiaries |
766 |
Number Of Black or African American Beneficiaries |
26 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
15 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
754 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
71 |
Percent Of With Atrial Fibrillation |
13 |
Percent Of With Alzheimers Disease or Dementia |
9 |
Percent Of With Asthma |
9 |
Percent Of With Cancer |
11 |
Percent Of With Heart Failure |
22 |
Percent Of With Chronic Kidney Disease |
15 |
Percent Of With Chronic Obstructive Pulmonary Disease |
11 |
Percent Of With Depression |
13 |
Percent Of With Diabetes |
42 |
Percent Of With Hyperlipidemia |
71 |
Percent Of With Hypertension |
72 |
Percent Of With Ischemic Heart Disease |
49 |
Percent Of With Osteoporosis |
11 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
61 |
Percent Of With Schizophrenia Other PsychoticDisorders |
1 |
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
1.135 |