National Provider Identifier [NPI]: |
1225074255 |
Last Name Of The Provider |
ELIA |
First Name Of The Provider |
MICHAEL |
Middle Initial Of The Provider |
E |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1 STONE PL |
Street Address 2 Of The Provider |
|
City Of The Provider |
BRONXVILLE |
Zip Code Of The Provider |
107083426 |
State Code Of The Provider |
NY |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Orthopedic Surgery |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
119 |
Number Of Services |
3744 |
Number Of Medicare Beneficiaries |
597 |
Total Submitted Charge Amount |
1199286 |
Total Medicare Allowed Amount |
422624.54 |
Total Medicare Payment Amount |
319006.45 |
Total Medicare Standardized Payment Amount |
275090.06 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
525 |
Number Of Medicare Beneficiaries With Drug Services |
239 |
Total Drug Submitted ChargeAmount |
46830 |
Total Drug Medicare AllowedAmount |
23658.52 |
Total Drug Medicare PaymentAmount |
18543.33 |
Total Drug Medicare Standardized Payment Amount |
18543.33 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
117 |
Number Of Medical Services |
3219 |
Number Of Medicare Beneficiaries With Medical Services |
597 |
Total Medical Submitted Charge Amount |
1152456 |
Total Medical Medicare Allowed Amount |
398966.02 |
Total Medical Medicare Payment Amount |
300463.12 |
Total Medical Medicare Standardized Payment Amount |
256546.73 |
Average Age Of Beneficiaries |
77 |
Number Of Beneficiaries Age Less65 |
32 |
Number Of Beneficiaries Age 65 to 74 |
220 |
Number Of Beneficiaries Age 75 to 84 |
216 |
Number Of Beneficiaries Age Greater 84 |
129 |
Number Of Female Beneficiaries |
380 |
Number Of Male Beneficiaries |
217 |
Number Of Non Hispanic White Beneficiaries |
513 |
Number Of Black or African American Beneficiaries |
39 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
22 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
555 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
42 |
Percent Of With Atrial Fibrillation |
14 |
Percent Of With Alzheimers Disease or Dementia |
11 |
Percent Of With Asthma |
9 |
Percent Of With Cancer |
12 |
Percent Of With Heart Failure |
19 |
Percent Of With Chronic Kidney Disease |
15 |
Percent Of With Chronic Obstructive Pulmonary Disease |
19 |
Percent Of With Depression |
14 |
Percent Of With Diabetes |
32 |
Percent Of With Hyperlipidemia |
60 |
Percent Of With Hypertension |
69 |
Percent Of With Ischemic Heart Disease |
44 |
Percent Of With Osteoporosis |
11 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
63 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
1.1696 |