National Provider Identifier [NPI]: |
1376618959 |
Last Name Of The Provider |
MORRISON |
First Name Of The Provider |
DOUGLAS |
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 |
269 MAPLE STREET |
Street Address 2 Of The Provider |
|
City Of The Provider |
ASHLAND |
Zip Code Of The Provider |
975201551 |
State Code Of The Provider |
OR |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Orthopedic Surgery |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
78 |
Number Of Services |
2149 |
Number Of Medicare Beneficiaries |
357 |
Total Submitted Charge Amount |
454966.04 |
Total Medicare Allowed Amount |
139692.87 |
Total Medicare Payment Amount |
104974.62 |
Total Medicare Standardized Payment Amount |
105802.62 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
5 |
Number Of Drug Services |
997 |
Number Of Medicare Beneficiaries With Drug Services |
118 |
Total Drug Submitted ChargeAmount |
81211.04 |
Total Drug Medicare AllowedAmount |
63550.63 |
Total Drug Medicare PaymentAmount |
48717.18 |
Total Drug Medicare Standardized Payment Amount |
48717.18 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
73 |
Number Of Medical Services |
1152 |
Number Of Medicare Beneficiaries With Medical Services |
357 |
Total Medical Submitted Charge Amount |
373755 |
Total Medical Medicare Allowed Amount |
76142.24 |
Total Medical Medicare Payment Amount |
56257.44 |
Total Medical Medicare Standardized Payment Amount |
57085.44 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
36 |
Number Of Beneficiaries Age 65 to 74 |
184 |
Number Of Beneficiaries Age 75 to 84 |
92 |
Number Of Beneficiaries Age Greater 84 |
45 |
Number Of Female Beneficiaries |
203 |
Number Of Male Beneficiaries |
154 |
Number Of Non Hispanic White Beneficiaries |
336 |
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 |
326 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
31 |
Percent Of With Atrial Fibrillation |
9 |
Percent Of With Alzheimers Disease or Dementia |
4 |
Percent Of With Asthma |
10 |
Percent Of With Cancer |
9 |
Percent Of With Heart Failure |
11 |
Percent Of With Chronic Kidney Disease |
11 |
Percent Of With Chronic Obstructive Pulmonary Disease |
6 |
Percent Of With Depression |
19 |
Percent Of With Diabetes |
16 |
Percent Of With Hyperlipidemia |
36 |
Percent Of With Hypertension |
51 |
Percent Of With Ischemic Heart Disease |
21 |
Percent Of With Osteoporosis |
7 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
69 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
|
Average HCC Risk Score Of Beneficiaries |
0.857 |