National Provider Identifier [NPI]: |
1205062239 |
Last Name Of The Provider |
NEWTON |
First Name Of The Provider |
CHASE |
Middle Initial Of The Provider |
A |
Credentials Of The Provider |
D.O. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
5409 AVENUE O |
Street Address 2 Of The Provider |
|
City Of The Provider |
FORT MADISON |
Zip Code Of The Provider |
526279601 |
State Code Of The Provider |
IA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Family Practice |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
80 |
Number Of Services |
2925 |
Number Of Medicare Beneficiaries |
696 |
Total Submitted Charge Amount |
366405.75 |
Total Medicare Allowed Amount |
143484.11 |
Total Medicare Payment Amount |
108438.15 |
Total Medicare Standardized Payment Amount |
113094.73 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
12 |
Number Of Drug Services |
384 |
Number Of Medicare Beneficiaries With Drug Services |
115 |
Total Drug Submitted ChargeAmount |
6198.75 |
Total Drug Medicare AllowedAmount |
1628.3 |
Total Drug Medicare PaymentAmount |
1460.64 |
Total Drug Medicare Standardized Payment Amount |
1460.64 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
68 |
Number Of Medical Services |
2541 |
Number Of Medicare Beneficiaries With Medical Services |
696 |
Total Medical Submitted Charge Amount |
360207 |
Total Medical Medicare Allowed Amount |
141855.81 |
Total Medical Medicare Payment Amount |
106977.51 |
Total Medical Medicare Standardized Payment Amount |
111634.09 |
Average Age Of Beneficiaries |
72 |
Number Of Beneficiaries Age Less65 |
111 |
Number Of Beneficiaries Age 65 to 74 |
280 |
Number Of Beneficiaries Age 75 to 84 |
198 |
Number Of Beneficiaries Age Greater 84 |
107 |
Number Of Female Beneficiaries |
380 |
Number Of Male Beneficiaries |
316 |
Number Of Non Hispanic White Beneficiaries |
671 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
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 |
545 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
151 |
Percent Of With Atrial Fibrillation |
9 |
Percent Of With Alzheimers Disease or Dementia |
10 |
Percent Of With Asthma |
7 |
Percent Of With Cancer |
8 |
Percent Of With Heart Failure |
19 |
Percent Of With Chronic Kidney Disease |
22 |
Percent Of With Chronic Obstructive Pulmonary Disease |
16 |
Percent Of With Depression |
26 |
Percent Of With Diabetes |
27 |
Percent Of With Hyperlipidemia |
42 |
Percent Of With Hypertension |
57 |
Percent Of With Ischemic Heart Disease |
30 |
Percent Of With Osteoporosis |
6 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
35 |
Percent Of With Schizophrenia Other PsychoticDisorders |
5 |
Percent Of With Stroke |
4 |
Average HCC Risk Score Of Beneficiaries |
1.1384 |