National Provider Identifier [NPI]: |
1023126893 |
Last Name Of The Provider |
MCNEMAR |
First Name Of The Provider |
MARK |
Middle Initial Of The Provider |
E |
Credentials Of The Provider |
DO |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
444 FOUR STATES DR STE 1 |
Street Address 2 Of The Provider |
|
City Of The Provider |
GALENA |
Zip Code Of The Provider |
667394325 |
State Code Of The Provider |
KS |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Orthopedic Surgery |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
125 |
Number Of Services |
2461 |
Number Of Medicare Beneficiaries |
467 |
Total Submitted Charge Amount |
1000271 |
Total Medicare Allowed Amount |
239767.81 |
Total Medicare Payment Amount |
182377.47 |
Total Medicare Standardized Payment Amount |
188705.66 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
1014 |
Number Of Medicare Beneficiaries With Drug Services |
142 |
Total Drug Submitted ChargeAmount |
54930 |
Total Drug Medicare AllowedAmount |
26415.15 |
Total Drug Medicare PaymentAmount |
20541.51 |
Total Drug Medicare Standardized Payment Amount |
20541.51 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
123 |
Number Of Medical Services |
1447 |
Number Of Medicare Beneficiaries With Medical Services |
467 |
Total Medical Submitted Charge Amount |
945341 |
Total Medical Medicare Allowed Amount |
213352.66 |
Total Medical Medicare Payment Amount |
161835.96 |
Total Medical Medicare Standardized Payment Amount |
168164.15 |
Average Age Of Beneficiaries |
70 |
Number Of Beneficiaries Age Less65 |
82 |
Number Of Beneficiaries Age 65 to 74 |
242 |
Number Of Beneficiaries Age 75 to 84 |
115 |
Number Of Beneficiaries Age Greater 84 |
28 |
Number Of Female Beneficiaries |
273 |
Number Of Male Beneficiaries |
194 |
Number Of Non Hispanic White Beneficiaries |
449 |
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 |
404 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
63 |
Percent Of With Atrial Fibrillation |
8 |
Percent Of With Alzheimers Disease or Dementia |
6 |
Percent Of With Asthma |
8 |
Percent Of With Cancer |
8 |
Percent Of With Heart Failure |
10 |
Percent Of With Chronic Kidney Disease |
18 |
Percent Of With Chronic Obstructive Pulmonary Disease |
16 |
Percent Of With Depression |
25 |
Percent Of With Diabetes |
32 |
Percent Of With Hyperlipidemia |
55 |
Percent Of With Hypertension |
69 |
Percent Of With Ischemic Heart Disease |
36 |
Percent Of With Osteoporosis |
11 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
68 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
2 |
Average HCC Risk Score Of Beneficiaries |
1.0224 |