National Provider Identifier [NPI]: |
1700859170 |
Last Name Of The Provider |
MANNING |
First Name Of The Provider |
WILLIAM |
Middle Initial Of The Provider |
J |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
700 ATTUCKS LANE |
Street Address 2 Of The Provider |
SUITE 1A |
City Of The Provider |
HYANNIS |
Zip Code Of The Provider |
02601 |
State Code Of The Provider |
MA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Orthopedic Surgery |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
87 |
Number Of Services |
5342 |
Number Of Medicare Beneficiaries |
1102 |
Total Submitted Charge Amount |
1465851 |
Total Medicare Allowed Amount |
568978.06 |
Total Medicare Payment Amount |
431297.52 |
Total Medicare Standardized Payment Amount |
412990.9 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
3 |
Number Of Drug Services |
710 |
Number Of Medicare Beneficiaries With Drug Services |
275 |
Total Drug Submitted ChargeAmount |
163040 |
Total Drug Medicare AllowedAmount |
35026.04 |
Total Drug Medicare PaymentAmount |
27290.82 |
Total Drug Medicare Standardized Payment Amount |
27290.82 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
84 |
Number Of Medical Services |
4632 |
Number Of Medicare Beneficiaries With Medical Services |
1102 |
Total Medical Submitted Charge Amount |
1302811 |
Total Medical Medicare Allowed Amount |
533952.02 |
Total Medical Medicare Payment Amount |
404006.7 |
Total Medical Medicare Standardized Payment Amount |
385700.08 |
Average Age Of Beneficiaries |
77 |
Number Of Beneficiaries Age Less65 |
83 |
Number Of Beneficiaries Age 65 to 74 |
358 |
Number Of Beneficiaries Age 75 to 84 |
433 |
Number Of Beneficiaries Age Greater 84 |
228 |
Number Of Female Beneficiaries |
710 |
Number Of Male Beneficiaries |
392 |
Number Of Non Hispanic White Beneficiaries |
1071 |
Number Of Black or African American Beneficiaries |
13 |
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 |
|
Number Of Beneficiaries With Medicare Only Entitlement |
963 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
139 |
Percent Of With Atrial Fibrillation |
17 |
Percent Of With Alzheimers Disease or Dementia |
6 |
Percent Of With Asthma |
9 |
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 |
10 |
Percent Of With Depression |
21 |
Percent Of With Diabetes |
22 |
Percent Of With Hyperlipidemia |
67 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
33 |
Percent Of With Osteoporosis |
11 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
75 |
Percent Of With Schizophrenia Other PsychoticDisorders |
2 |
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
1.1252 |