National Provider Identifier [NPI]: |
1437269768 |
Last Name Of The Provider |
BAKER |
First Name Of The Provider |
STEVEN |
Middle Initial Of The Provider |
S |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
315 E OLYMPIA AVE |
Street Address 2 Of The Provider |
SUITE 211 |
City Of The Provider |
PUNTA GORDA |
Zip Code Of The Provider |
339503833 |
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 |
100 |
Number Of Services |
9347 |
Number Of Medicare Beneficiaries |
663 |
Total Submitted Charge Amount |
920192.66 |
Total Medicare Allowed Amount |
323921.12 |
Total Medicare Payment Amount |
242518.92 |
Total Medicare Standardized Payment Amount |
243653.62 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
3991 |
Number Of Medicare Beneficiaries With Drug Services |
381 |
Total Drug Submitted ChargeAmount |
48445 |
Total Drug Medicare AllowedAmount |
13909.24 |
Total Drug Medicare PaymentAmount |
10525.68 |
Total Drug Medicare Standardized Payment Amount |
10525.68 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
98 |
Number Of Medical Services |
5356 |
Number Of Medicare Beneficiaries With Medical Services |
663 |
Total Medical Submitted Charge Amount |
871747.66 |
Total Medical Medicare Allowed Amount |
310011.88 |
Total Medical Medicare Payment Amount |
231993.24 |
Total Medical Medicare Standardized Payment Amount |
233127.94 |
Average Age Of Beneficiaries |
76 |
Number Of Beneficiaries Age Less65 |
46 |
Number Of Beneficiaries Age 65 to 74 |
254 |
Number Of Beneficiaries Age 75 to 84 |
263 |
Number Of Beneficiaries Age Greater 84 |
100 |
Number Of Female Beneficiaries |
420 |
Number Of Male Beneficiaries |
243 |
Number Of Non Hispanic White Beneficiaries |
617 |
Number Of Black or African American Beneficiaries |
15 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
17 |
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
600 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
63 |
Percent Of With Atrial Fibrillation |
14 |
Percent Of With Alzheimers Disease or Dementia |
10 |
Percent Of With Asthma |
11 |
Percent Of With Cancer |
9 |
Percent Of With Heart Failure |
21 |
Percent Of With Chronic Kidney Disease |
21 |
Percent Of With Chronic Obstructive Pulmonary Disease |
21 |
Percent Of With Depression |
19 |
Percent Of With Diabetes |
31 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
51 |
Percent Of With Osteoporosis |
17 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
75 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
1.2565 |