National Provider Identifier [NPI]: |
1649252545 |
Last Name Of The Provider |
BRAHMABHATT |
First Name Of The Provider |
SHYAM |
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 |
2400 MARYLAND RD |
Street Address 2 Of The Provider |
SUITE 20 |
City Of The Provider |
WILLOW GROVE |
Zip Code Of The Provider |
190901700 |
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 |
79 |
Number Of Services |
6375 |
Number Of Medicare Beneficiaries |
941 |
Total Submitted Charge Amount |
872061.5 |
Total Medicare Allowed Amount |
331720.23 |
Total Medicare Payment Amount |
250638.92 |
Total Medicare Standardized Payment Amount |
226428.61 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
3 |
Number Of Drug Services |
2552 |
Number Of Medicare Beneficiaries With Drug Services |
353 |
Total Drug Submitted ChargeAmount |
93051.5 |
Total Drug Medicare AllowedAmount |
32478.72 |
Total Drug Medicare PaymentAmount |
25037.9 |
Total Drug Medicare Standardized Payment Amount |
25037.9 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
76 |
Number Of Medical Services |
3823 |
Number Of Medicare Beneficiaries With Medical Services |
941 |
Total Medical Submitted Charge Amount |
779010 |
Total Medical Medicare Allowed Amount |
299241.51 |
Total Medical Medicare Payment Amount |
225601.02 |
Total Medical Medicare Standardized Payment Amount |
201390.71 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
57 |
Number Of Beneficiaries Age 65 to 74 |
505 |
Number Of Beneficiaries Age 75 to 84 |
280 |
Number Of Beneficiaries Age Greater 84 |
99 |
Number Of Female Beneficiaries |
596 |
Number Of Male Beneficiaries |
345 |
Number Of Non Hispanic White Beneficiaries |
820 |
Number Of Black or African American Beneficiaries |
80 |
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 |
26 |
Number Of Beneficiaries With Medicare Only Entitlement |
894 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
47 |
Percent Of With Atrial Fibrillation |
12 |
Percent Of With Alzheimers Disease or Dementia |
7 |
Percent Of With Asthma |
6 |
Percent Of With Cancer |
11 |
Percent Of With Heart Failure |
13 |
Percent Of With Chronic Kidney Disease |
16 |
Percent Of With Chronic Obstructive Pulmonary Disease |
9 |
Percent Of With Depression |
21 |
Percent Of With Diabetes |
26 |
Percent Of With Hyperlipidemia |
66 |
Percent Of With Hypertension |
67 |
Percent Of With Ischemic Heart Disease |
29 |
Percent Of With Osteoporosis |
13 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
75 |
Percent Of With Schizophrenia Other PsychoticDisorders |
2 |
Percent Of With Stroke |
6 |
Average HCC Risk Score Of Beneficiaries |
1.0276 |