National Provider Identifier [NPI]: |
1356385371 |
Last Name Of The Provider |
HUSSAIN |
First Name Of The Provider |
SHABBAR |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1035 WAYNE AVE |
Street Address 2 Of The Provider |
|
City Of The Provider |
CHAMBERSBURG |
Zip Code Of The Provider |
172012986 |
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 |
125 |
Number Of Services |
4445 |
Number Of Medicare Beneficiaries |
352 |
Total Submitted Charge Amount |
532929.5 |
Total Medicare Allowed Amount |
242482.42 |
Total Medicare Payment Amount |
181164.36 |
Total Medicare Standardized Payment Amount |
186369.91 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
3 |
Number Of Drug Services |
2021 |
Number Of Medicare Beneficiaries With Drug Services |
161 |
Total Drug Submitted ChargeAmount |
13489.5 |
Total Drug Medicare AllowedAmount |
10804.12 |
Total Drug Medicare PaymentAmount |
8398.97 |
Total Drug Medicare Standardized Payment Amount |
8398.97 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
122 |
Number Of Medical Services |
2424 |
Number Of Medicare Beneficiaries With Medical Services |
352 |
Total Medical Submitted Charge Amount |
519440 |
Total Medical Medicare Allowed Amount |
231678.3 |
Total Medical Medicare Payment Amount |
172765.39 |
Total Medical Medicare Standardized Payment Amount |
177970.94 |
Average Age Of Beneficiaries |
69 |
Number Of Beneficiaries Age Less65 |
95 |
Number Of Beneficiaries Age 65 to 74 |
138 |
Number Of Beneficiaries Age 75 to 84 |
75 |
Number Of Beneficiaries Age Greater 84 |
44 |
Number Of Female Beneficiaries |
213 |
Number Of Male Beneficiaries |
139 |
Number Of Non Hispanic White Beneficiaries |
314 |
Number Of Black or African American Beneficiaries |
14 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
13 |
Number Of Beneficiaries With Medicare Only Entitlement |
251 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
101 |
Percent Of With Atrial Fibrillation |
10 |
Percent Of With Alzheimers Disease or Dementia |
11 |
Percent Of With Asthma |
11 |
Percent Of With Cancer |
9 |
Percent Of With Heart Failure |
20 |
Percent Of With Chronic Kidney Disease |
22 |
Percent Of With Chronic Obstructive Pulmonary Disease |
19 |
Percent Of With Depression |
36 |
Percent Of With Diabetes |
37 |
Percent Of With Hyperlipidemia |
65 |
Percent Of With Hypertension |
73 |
Percent Of With Ischemic Heart Disease |
38 |
Percent Of With Osteoporosis |
7 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
71 |
Percent Of With Schizophrenia Other PsychoticDisorders |
4 |
Percent Of With Stroke |
6 |
Average HCC Risk Score Of Beneficiaries |
1.3797 |