National Provider Identifier [NPI]: |
1154380400 |
Last Name Of The Provider |
WARD |
First Name Of The Provider |
WILLIAM |
Middle Initial Of The Provider |
S |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
44555 WOODWARD AVE |
Street Address 2 Of The Provider |
SUITE 407 |
City Of The Provider |
PONTIAC |
Zip Code Of The Provider |
483415031 |
State Code Of The Provider |
MI |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Orthopedic Surgery |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
63 |
Number Of Services |
2750 |
Number Of Medicare Beneficiaries |
359 |
Total Submitted Charge Amount |
499303 |
Total Medicare Allowed Amount |
265447.19 |
Total Medicare Payment Amount |
200704.45 |
Total Medicare Standardized Payment Amount |
186945.61 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
3 |
Number Of Drug Services |
181 |
Number Of Medicare Beneficiaries With Drug Services |
28 |
Total Drug Submitted ChargeAmount |
45409 |
Total Drug Medicare AllowedAmount |
22302.15 |
Total Drug Medicare PaymentAmount |
17478.43 |
Total Drug Medicare Standardized Payment Amount |
17478.43 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
60 |
Number Of Medical Services |
2569 |
Number Of Medicare Beneficiaries With Medical Services |
359 |
Total Medical Submitted Charge Amount |
453894 |
Total Medical Medicare Allowed Amount |
243145.04 |
Total Medical Medicare Payment Amount |
183226.02 |
Total Medical Medicare Standardized Payment Amount |
169467.18 |
Average Age Of Beneficiaries |
75 |
Number Of Beneficiaries Age Less65 |
13 |
Number Of Beneficiaries Age 65 to 74 |
164 |
Number Of Beneficiaries Age 75 to 84 |
139 |
Number Of Beneficiaries Age Greater 84 |
43 |
Number Of Female Beneficiaries |
210 |
Number Of Male Beneficiaries |
149 |
Number Of Non Hispanic White Beneficiaries |
330 |
Number Of Black or African American Beneficiaries |
|
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 |
|
Number Of Beneficiaries With Medicare Only Entitlement |
|
Number Of Beneficiaries With Medicare Medicaid Entitlement |
|
Percent Of With Atrial Fibrillation |
10 |
Percent Of With Alzheimers Disease or Dementia |
8 |
Percent Of With Asthma |
10 |
Percent Of With Cancer |
14 |
Percent Of With Heart Failure |
15 |
Percent Of With Chronic Kidney Disease |
16 |
Percent Of With Chronic Obstructive Pulmonary Disease |
11 |
Percent Of With Depression |
13 |
Percent Of With Diabetes |
27 |
Percent Of With Hyperlipidemia |
58 |
Percent Of With Hypertension |
68 |
Percent Of With Ischemic Heart Disease |
40 |
Percent Of With Osteoporosis |
5 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
75 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
4 |
Average HCC Risk Score Of Beneficiaries |
0.9124 |