Medicare Facts for Dr. Mark A. Elkus, MD


National Provider Identifier [NPI]: 1366515033
Last Name Of The Provider ELKUS
First Name Of The Provider MARK
Middle Initial Of The Provider A
Credentials Of The Provider M.D.
Gender Of The Provider M
Entity Type Of The Provider I
Street Address 1 Of The Provider 1400 SOUTH 19TH STREET
Street Address 2 Of The Provider
City Of The Provider BIRMINGHAM
Zip Code Of The Provider 35213
State Code Of The Provider AL
Country Code Of The Provider US
Provider Type Of The Provider Orthopedic Surgery
Medicare Participation Indicator Y
Number Of HCPCS 98
Number Of Services 3004
Number Of Medicare Beneficiaries 460
Total Submitted Charge Amount 659447
Total Medicare Allowed Amount 273645.41
Total Medicare Payment Amount 196193.68
Total Medicare Standardized Payment Amount 232695.52
Drug Suppress Indicator
Number Of HCPCS Associated With Drug Services 2
Number Of Drug Services 506
Number Of Medicare Beneficiaries With Drug Services 170
Total Drug Submitted ChargeAmount 38800
Total Drug Medicare AllowedAmount 30897.47
Total Drug Medicare PaymentAmount 22724.06
Total Drug Medicare Standardized Payment Amount 22724.06
Medical SuppressIndicator
Number Of HCPCS Associated With MedicalServices 96
Number Of Medical Services 2498
Number Of Medicare Beneficiaries With Medical Services 460
Total Medical Submitted Charge Amount 620647
Total Medical Medicare Allowed Amount 242747.94
Total Medical Medicare Payment Amount 173469.62
Total Medical Medicare Standardized Payment Amount 209971.46
Average Age Of Beneficiaries 73
Number Of Beneficiaries Age Less65 43
Number Of Beneficiaries Age 65 to 74 236
Number Of Beneficiaries Age 75 to 84 132
Number Of Beneficiaries Age Greater 84 49
Number Of Female Beneficiaries 292
Number Of Male Beneficiaries 168
Number Of Non Hispanic White Beneficiaries 418
Number Of Black or African American Beneficiaries 31
Number Of AsianPacific Islander Beneficiaries 0
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
Number Of Beneficiaries With Medicare Medicaid Entitlement
Percent Of With Atrial Fibrillation 8
Percent Of With Alzheimers Disease or Dementia 7
Percent Of With Asthma 11
Percent Of With Cancer 13
Percent Of With Heart Failure 12
Percent Of With Chronic Kidney Disease 17
Percent Of With Chronic Obstructive Pulmonary Disease 11
Percent Of With Depression 23
Percent Of With Diabetes 24
Percent Of With Hyperlipidemia 53
Percent Of With Hypertension 69
Percent Of With Ischemic Heart Disease 30
Percent Of With Osteoporosis 18
Percent Of With Rheumatoid Arthritis Osteoarthritis 75
Percent Of With Schizophrenia Other PsychoticDisorders 2
Percent Of With Stroke 3
Average HCC Risk Score Of Beneficiaries 0.9544

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