National Provider Identifier [NPI]: |
1164497723 |
Last Name Of The Provider |
KAPER |
First Name Of The Provider |
BERTRAND |
Middle Initial Of The Provider |
P |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
3655 CROSSINGS DRIVE |
Street Address 2 Of The Provider |
|
City Of The Provider |
PRESCOTT |
Zip Code Of The Provider |
863057101 |
State Code Of The Provider |
AZ |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Orthopedic Surgery |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
106 |
Number Of Services |
5526 |
Number Of Medicare Beneficiaries |
1011 |
Total Submitted Charge Amount |
3249011.22 |
Total Medicare Allowed Amount |
739186.25 |
Total Medicare Payment Amount |
563991.35 |
Total Medicare Standardized Payment Amount |
569472.3 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
4 |
Number Of Drug Services |
1819 |
Number Of Medicare Beneficiaries With Drug Services |
162 |
Total Drug Submitted ChargeAmount |
122845 |
Total Drug Medicare AllowedAmount |
68755.12 |
Total Drug Medicare PaymentAmount |
53114.87 |
Total Drug Medicare Standardized Payment Amount |
53114.87 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
102 |
Number Of Medical Services |
3707 |
Number Of Medicare Beneficiaries With Medical Services |
1011 |
Total Medical Submitted Charge Amount |
3126166.22 |
Total Medical Medicare Allowed Amount |
670431.13 |
Total Medical Medicare Payment Amount |
510876.48 |
Total Medical Medicare Standardized Payment Amount |
516357.43 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
23 |
Number Of Beneficiaries Age 65 to 74 |
548 |
Number Of Beneficiaries Age 75 to 84 |
341 |
Number Of Beneficiaries Age Greater 84 |
99 |
Number Of Female Beneficiaries |
586 |
Number Of Male Beneficiaries |
425 |
Number Of Non Hispanic White Beneficiaries |
968 |
Number Of Black or African American Beneficiaries |
|
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 |
990 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
21 |
Percent Of With Atrial Fibrillation |
11 |
Percent Of With Alzheimers Disease or Dementia |
6 |
Percent Of With Asthma |
9 |
Percent Of With Cancer |
10 |
Percent Of With Heart Failure |
9 |
Percent Of With Chronic Kidney Disease |
16 |
Percent Of With Chronic Obstructive Pulmonary Disease |
11 |
Percent Of With Depression |
16 |
Percent Of With Diabetes |
17 |
Percent Of With Hyperlipidemia |
57 |
Percent Of With Hypertension |
65 |
Percent Of With Ischemic Heart Disease |
28 |
Percent Of With Osteoporosis |
14 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
75 |
Percent Of With Schizophrenia Other PsychoticDisorders |
1 |
Percent Of With Stroke |
4 |
Average HCC Risk Score Of Beneficiaries |
0.9054 |