National Provider Identifier [NPI]: |
1992739312 |
Last Name Of The Provider |
KORECKIJ |
First Name Of The Provider |
JASON |
Middle Initial Of The Provider |
T |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1 S KEENE ST |
Street Address 2 Of The Provider |
|
City Of The Provider |
COLUMBIA |
Zip Code Of The Provider |
652017199 |
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 |
152 |
Number Of Services |
1853 |
Number Of Medicare Beneficiaries |
523 |
Total Submitted Charge Amount |
1218708.84 |
Total Medicare Allowed Amount |
332313.78 |
Total Medicare Payment Amount |
254606.34 |
Total Medicare Standardized Payment Amount |
260143.74 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
1 |
Number Of Drug Services |
26 |
Number Of Medicare Beneficiaries With Drug Services |
12 |
Total Drug Submitted ChargeAmount |
78 |
Total Drug Medicare AllowedAmount |
46.38 |
Total Drug Medicare PaymentAmount |
34.94 |
Total Drug Medicare Standardized Payment Amount |
34.94 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
151 |
Number Of Medical Services |
1827 |
Number Of Medicare Beneficiaries With Medical Services |
523 |
Total Medical Submitted Charge Amount |
1218630.84 |
Total Medical Medicare Allowed Amount |
332267.4 |
Total Medical Medicare Payment Amount |
254571.4 |
Total Medical Medicare Standardized Payment Amount |
260108.8 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
64 |
Number Of Beneficiaries Age 65 to 74 |
260 |
Number Of Beneficiaries Age 75 to 84 |
132 |
Number Of Beneficiaries Age Greater 84 |
67 |
Number Of Female Beneficiaries |
321 |
Number Of Male Beneficiaries |
202 |
Number Of Non Hispanic White Beneficiaries |
503 |
Number Of Black or African American Beneficiaries |
|
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 |
|
Number Of Beneficiaries With Medicare Only Entitlement |
476 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
47 |
Percent Of With Atrial Fibrillation |
10 |
Percent Of With Alzheimers Disease or Dementia |
10 |
Percent Of With Asthma |
4 |
Percent Of With Cancer |
11 |
Percent Of With Heart Failure |
19 |
Percent Of With Chronic Kidney Disease |
15 |
Percent Of With Chronic Obstructive Pulmonary Disease |
14 |
Percent Of With Depression |
26 |
Percent Of With Diabetes |
28 |
Percent Of With Hyperlipidemia |
57 |
Percent Of With Hypertension |
69 |
Percent Of With Ischemic Heart Disease |
36 |
Percent Of With Osteoporosis |
17 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
73 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
4 |
Average HCC Risk Score Of Beneficiaries |
1.1184 |