National Provider Identifier [NPI]: |
1164461364 |
Last Name Of The Provider |
GRAFF |
First Name Of The Provider |
STEVEN |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
588 PAWTUCKET AVE |
Street Address 2 Of The Provider |
|
City Of The Provider |
PAWTUCKET |
Zip Code Of The Provider |
028606057 |
State Code Of The Provider |
RI |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Hand Surgery |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
99 |
Number Of Services |
2456 |
Number Of Medicare Beneficiaries |
414 |
Total Submitted Charge Amount |
692780.5 |
Total Medicare Allowed Amount |
198699.33 |
Total Medicare Payment Amount |
148546.44 |
Total Medicare Standardized Payment Amount |
146683.04 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
4 |
Number Of Drug Services |
463 |
Number Of Medicare Beneficiaries With Drug Services |
191 |
Total Drug Submitted ChargeAmount |
3408.5 |
Total Drug Medicare AllowedAmount |
1551.71 |
Total Drug Medicare PaymentAmount |
1201.23 |
Total Drug Medicare Standardized Payment Amount |
1201.23 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
95 |
Number Of Medical Services |
1993 |
Number Of Medicare Beneficiaries With Medical Services |
414 |
Total Medical Submitted Charge Amount |
689372 |
Total Medical Medicare Allowed Amount |
197147.62 |
Total Medical Medicare Payment Amount |
147345.21 |
Total Medical Medicare Standardized Payment Amount |
145481.81 |
Average Age Of Beneficiaries |
71 |
Number Of Beneficiaries Age Less65 |
89 |
Number Of Beneficiaries Age 65 to 74 |
150 |
Number Of Beneficiaries Age 75 to 84 |
114 |
Number Of Beneficiaries Age Greater 84 |
61 |
Number Of Female Beneficiaries |
270 |
Number Of Male Beneficiaries |
144 |
Number Of Non Hispanic White Beneficiaries |
376 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
17 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
304 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
110 |
Percent Of With Atrial Fibrillation |
11 |
Percent Of With Alzheimers Disease or Dementia |
8 |
Percent Of With Asthma |
8 |
Percent Of With Cancer |
9 |
Percent Of With Heart Failure |
10 |
Percent Of With Chronic Kidney Disease |
13 |
Percent Of With Chronic Obstructive Pulmonary Disease |
12 |
Percent Of With Depression |
29 |
Percent Of With Diabetes |
30 |
Percent Of With Hyperlipidemia |
54 |
Percent Of With Hypertension |
63 |
Percent Of With Ischemic Heart Disease |
23 |
Percent Of With Osteoporosis |
10 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
51 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
3 |
Average HCC Risk Score Of Beneficiaries |
1.0611 |