National Provider Identifier [NPI]: |
1649236118 |
Last Name Of The Provider |
BUTLER |
First Name Of The Provider |
J |
Middle Initial Of The Provider |
C |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
210 VILLAGE CENTER BLVD |
Street Address 2 Of The Provider |
SUITE 200 |
City Of The Provider |
MYRTLE BEACH |
Zip Code Of The Provider |
295796683 |
State Code Of The Provider |
SC |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Orthopedic Surgery |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
96 |
Number Of Services |
7649 |
Number Of Medicare Beneficiaries |
851 |
Total Submitted Charge Amount |
1078644.1 |
Total Medicare Allowed Amount |
387384.72 |
Total Medicare Payment Amount |
286496.42 |
Total Medicare Standardized Payment Amount |
306012.86 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
3 |
Number Of Drug Services |
4194 |
Number Of Medicare Beneficiaries With Drug Services |
478 |
Total Drug Submitted ChargeAmount |
86672.6 |
Total Drug Medicare AllowedAmount |
53553.22 |
Total Drug Medicare PaymentAmount |
41763.42 |
Total Drug Medicare Standardized Payment Amount |
41763.42 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
93 |
Number Of Medical Services |
3455 |
Number Of Medicare Beneficiaries With Medical Services |
851 |
Total Medical Submitted Charge Amount |
991971.5 |
Total Medical Medicare Allowed Amount |
333831.5 |
Total Medical Medicare Payment Amount |
244733 |
Total Medical Medicare Standardized Payment Amount |
264249.44 |
Average Age Of Beneficiaries |
72 |
Number Of Beneficiaries Age Less65 |
83 |
Number Of Beneficiaries Age 65 to 74 |
451 |
Number Of Beneficiaries Age 75 to 84 |
243 |
Number Of Beneficiaries Age Greater 84 |
74 |
Number Of Female Beneficiaries |
501 |
Number Of Male Beneficiaries |
350 |
Number Of Non Hispanic White Beneficiaries |
792 |
Number Of Black or African American Beneficiaries |
36 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
11 |
Number Of Beneficiaries With Medicare Only Entitlement |
800 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
51 |
Percent Of With Atrial Fibrillation |
11 |
Percent Of With Alzheimers Disease or Dementia |
6 |
Percent Of With Asthma |
6 |
Percent Of With Cancer |
10 |
Percent Of With Heart Failure |
11 |
Percent Of With Chronic Kidney Disease |
16 |
Percent Of With Chronic Obstructive Pulmonary Disease |
12 |
Percent Of With Depression |
17 |
Percent Of With Diabetes |
27 |
Percent Of With Hyperlipidemia |
69 |
Percent Of With Hypertension |
71 |
Percent Of With Ischemic Heart Disease |
29 |
Percent Of With Osteoporosis |
9 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
70 |
Percent Of With Schizophrenia Other PsychoticDisorders |
2 |
Percent Of With Stroke |
4 |
Average HCC Risk Score Of Beneficiaries |
0.9404 |