National Provider Identifier [NPI]: |
1366553323 |
Last Name Of The Provider |
ANZ |
First Name Of The Provider |
ALAN |
Middle Initial Of The Provider |
G |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1 S KEENE ST |
Street Address 2 Of The Provider |
|
City Of The Provider |
COLUMBIA |
Zip Code Of The Provider |
652017199 |
State Code Of The Provider |
MO |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Orthopedic Surgery |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
97 |
Number Of Services |
7230 |
Number Of Medicare Beneficiaries |
605 |
Total Submitted Charge Amount |
1170679.36 |
Total Medicare Allowed Amount |
413180.04 |
Total Medicare Payment Amount |
309244.95 |
Total Medicare Standardized Payment Amount |
336356.45 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
5 |
Number Of Drug Services |
4173 |
Number Of Medicare Beneficiaries With Drug Services |
211 |
Total Drug Submitted ChargeAmount |
64960 |
Total Drug Medicare AllowedAmount |
46599.31 |
Total Drug Medicare PaymentAmount |
36067.82 |
Total Drug Medicare Standardized Payment Amount |
36067.82 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
92 |
Number Of Medical Services |
3057 |
Number Of Medicare Beneficiaries With Medical Services |
605 |
Total Medical Submitted Charge Amount |
1105719.36 |
Total Medical Medicare Allowed Amount |
366580.73 |
Total Medical Medicare Payment Amount |
273177.13 |
Total Medical Medicare Standardized Payment Amount |
300288.63 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
56 |
Number Of Beneficiaries Age 65 to 74 |
303 |
Number Of Beneficiaries Age 75 to 84 |
189 |
Number Of Beneficiaries Age Greater 84 |
57 |
Number Of Female Beneficiaries |
371 |
Number Of Male Beneficiaries |
234 |
Number Of Non Hispanic White Beneficiaries |
584 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
0 |
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 |
569 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
36 |
Percent Of With Atrial Fibrillation |
10 |
Percent Of With Alzheimers Disease or Dementia |
5 |
Percent Of With Asthma |
7 |
Percent Of With Cancer |
8 |
Percent Of With Heart Failure |
15 |
Percent Of With Chronic Kidney Disease |
15 |
Percent Of With Chronic Obstructive Pulmonary Disease |
12 |
Percent Of With Depression |
25 |
Percent Of With Diabetes |
27 |
Percent Of With Hyperlipidemia |
59 |
Percent Of With Hypertension |
71 |
Percent Of With Ischemic Heart Disease |
33 |
Percent Of With Osteoporosis |
12 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
75 |
Percent Of With Schizophrenia Other PsychoticDisorders |
2 |
Percent Of With Stroke |
4 |
Average HCC Risk Score Of Beneficiaries |
1.0598 |