National Provider Identifier [NPI]: |
1013000769 |
Last Name Of The Provider |
MLNARIK |
First Name Of The Provider |
JASON |
Middle Initial Of The Provider |
M |
Credentials Of The Provider |
DO |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
6400 PROSPECT AVE. |
Street Address 2 Of The Provider |
STE. 208 |
City Of The Provider |
KANSAS CITY |
Zip Code Of The Provider |
64132 |
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 |
79 |
Number Of Services |
435 |
Number Of Medicare Beneficiaries |
107 |
Total Submitted Charge Amount |
203793 |
Total Medicare Allowed Amount |
67171.86 |
Total Medicare Payment Amount |
51287.84 |
Total Medicare Standardized Payment Amount |
51838.5 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
1 |
Number Of Drug Services |
73 |
Number Of Medicare Beneficiaries With Drug Services |
14 |
Total Drug Submitted ChargeAmount |
365 |
Total Drug Medicare AllowedAmount |
130.45 |
Total Drug Medicare PaymentAmount |
102.29 |
Total Drug Medicare Standardized Payment Amount |
102.29 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
78 |
Number Of Medical Services |
362 |
Number Of Medicare Beneficiaries With Medical Services |
107 |
Total Medical Submitted Charge Amount |
203428 |
Total Medical Medicare Allowed Amount |
67041.41 |
Total Medical Medicare Payment Amount |
51185.55 |
Total Medical Medicare Standardized Payment Amount |
51736.21 |
Average Age Of Beneficiaries |
69 |
Number Of Beneficiaries Age Less65 |
42 |
Number Of Beneficiaries Age 65 to 74 |
28 |
Number Of Beneficiaries Age 75 to 84 |
18 |
Number Of Beneficiaries Age Greater 84 |
19 |
Number Of Female Beneficiaries |
58 |
Number Of Male Beneficiaries |
49 |
Number Of Non Hispanic White Beneficiaries |
62 |
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 |
69 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
38 |
Percent Of With Atrial Fibrillation |
14 |
Percent Of With Alzheimers Disease or Dementia |
18 |
Percent Of With Asthma |
18 |
Percent Of With Cancer |
18 |
Percent Of With Heart Failure |
23 |
Percent Of With Chronic Kidney Disease |
37 |
Percent Of With Chronic Obstructive Pulmonary Disease |
23 |
Percent Of With Depression |
31 |
Percent Of With Diabetes |
45 |
Percent Of With Hyperlipidemia |
60 |
Percent Of With Hypertension |
73 |
Percent Of With Ischemic Heart Disease |
33 |
Percent Of With Osteoporosis |
10 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
55 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
|
Average HCC Risk Score Of Beneficiaries |
2.012 |