National Provider Identifier [NPI]: |
1114989829 |
Last Name Of The Provider |
GARCIA |
First Name Of The Provider |
JASON |
Middle Initial Of The Provider |
P |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
741 NORTHFIELD AVE |
Street Address 2 Of The Provider |
SUITE 200 |
City Of The Provider |
WEST ORANGE |
Zip Code Of The Provider |
070521174 |
State Code Of The Provider |
NJ |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Orthopedic Surgery |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
91 |
Number Of Services |
6004 |
Number Of Medicare Beneficiaries |
674 |
Total Submitted Charge Amount |
1611188.32 |
Total Medicare Allowed Amount |
528790.51 |
Total Medicare Payment Amount |
403948.04 |
Total Medicare Standardized Payment Amount |
376584.71 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
3 |
Number Of Drug Services |
2010 |
Number Of Medicare Beneficiaries With Drug Services |
408 |
Total Drug Submitted ChargeAmount |
300273.32 |
Total Drug Medicare AllowedAmount |
183082.4 |
Total Drug Medicare PaymentAmount |
141691 |
Total Drug Medicare Standardized Payment Amount |
141691 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
88 |
Number Of Medical Services |
3994 |
Number Of Medicare Beneficiaries With Medical Services |
674 |
Total Medical Submitted Charge Amount |
1310915 |
Total Medical Medicare Allowed Amount |
345708.11 |
Total Medical Medicare Payment Amount |
262257.04 |
Total Medical Medicare Standardized Payment Amount |
234893.71 |
Average Age Of Beneficiaries |
76 |
Number Of Beneficiaries Age Less65 |
23 |
Number Of Beneficiaries Age 65 to 74 |
272 |
Number Of Beneficiaries Age 75 to 84 |
245 |
Number Of Beneficiaries Age Greater 84 |
134 |
Number Of Female Beneficiaries |
468 |
Number Of Male Beneficiaries |
206 |
Number Of Non Hispanic White Beneficiaries |
552 |
Number Of Black or African American Beneficiaries |
59 |
Number Of AsianPacific Islander Beneficiaries |
17 |
Number Of Hispanic Beneficiaries |
33 |
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
13 |
Number Of Beneficiaries With Medicare Only Entitlement |
649 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
25 |
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 |
17 |
Percent Of With Chronic Kidney Disease |
14 |
Percent Of With Chronic Obstructive Pulmonary Disease |
8 |
Percent Of With Depression |
15 |
Percent Of With Diabetes |
31 |
Percent Of With Hyperlipidemia |
63 |
Percent Of With Hypertension |
68 |
Percent Of With Ischemic Heart Disease |
39 |
Percent Of With Osteoporosis |
15 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
75 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
3 |
Average HCC Risk Score Of Beneficiaries |
1.0997 |