National Provider Identifier [NPI]: |
1598768285 |
Last Name Of The Provider |
FAUST |
First Name Of The Provider |
STEPHEN |
Middle Initial Of The Provider |
E |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
2000 MEDICAL PKWY |
Street Address 2 Of The Provider |
SUITE 101 |
City Of The Provider |
ANNAPOLIS |
Zip Code Of The Provider |
214013742 |
State Code Of The Provider |
MD |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Orthopedic Surgery |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
89 |
Number Of Services |
5807 |
Number Of Medicare Beneficiaries |
926 |
Total Submitted Charge Amount |
965830 |
Total Medicare Allowed Amount |
520324.99 |
Total Medicare Payment Amount |
393357.96 |
Total Medicare Standardized Payment Amount |
370215.39 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
3 |
Number Of Drug Services |
2068 |
Number Of Medicare Beneficiaries With Drug Services |
348 |
Total Drug Submitted ChargeAmount |
119010 |
Total Drug Medicare AllowedAmount |
71875.24 |
Total Drug Medicare PaymentAmount |
55323.36 |
Total Drug Medicare Standardized Payment Amount |
55323.36 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
86 |
Number Of Medical Services |
3739 |
Number Of Medicare Beneficiaries With Medical Services |
926 |
Total Medical Submitted Charge Amount |
846820 |
Total Medical Medicare Allowed Amount |
448449.75 |
Total Medical Medicare Payment Amount |
338034.6 |
Total Medical Medicare Standardized Payment Amount |
314892.03 |
Average Age Of Beneficiaries |
75 |
Number Of Beneficiaries Age Less65 |
57 |
Number Of Beneficiaries Age 65 to 74 |
420 |
Number Of Beneficiaries Age 75 to 84 |
316 |
Number Of Beneficiaries Age Greater 84 |
133 |
Number Of Female Beneficiaries |
549 |
Number Of Male Beneficiaries |
377 |
Number Of Non Hispanic White Beneficiaries |
798 |
Number Of Black or African American Beneficiaries |
104 |
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 |
11 |
Number Of Beneficiaries With Medicare Only Entitlement |
876 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
50 |
Percent Of With Atrial Fibrillation |
12 |
Percent Of With Alzheimers Disease or Dementia |
7 |
Percent Of With Asthma |
7 |
Percent Of With Cancer |
14 |
Percent Of With Heart Failure |
10 |
Percent Of With Chronic Kidney Disease |
14 |
Percent Of With Chronic Obstructive Pulmonary Disease |
9 |
Percent Of With Depression |
21 |
Percent Of With Diabetes |
27 |
Percent Of With Hyperlipidemia |
61 |
Percent Of With Hypertension |
71 |
Percent Of With Ischemic Heart Disease |
30 |
Percent Of With Osteoporosis |
10 |
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 |
1.0215 |