National Provider Identifier [NPI]: |
1134225568 |
Last Name Of The Provider |
HUTCHINS |
First Name Of The Provider |
MICHAEL |
Middle Initial Of The Provider |
J |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
2819 GREAT NORTHERN LOOP STE 200 |
Street Address 2 Of The Provider |
|
City Of The Provider |
MISSOULA |
Zip Code Of The Provider |
598081750 |
State Code Of The Provider |
MT |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Internal Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
77 |
Number Of Services |
7473 |
Number Of Medicare Beneficiaries |
712 |
Total Submitted Charge Amount |
591431.9 |
Total Medicare Allowed Amount |
292523.28 |
Total Medicare Payment Amount |
219116.62 |
Total Medicare Standardized Payment Amount |
218564.02 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
21 |
Number Of Drug Services |
4233 |
Number Of Medicare Beneficiaries With Drug Services |
205 |
Total Drug Submitted ChargeAmount |
74002.9 |
Total Drug Medicare AllowedAmount |
58996.65 |
Total Drug Medicare PaymentAmount |
47174.15 |
Total Drug Medicare Standardized Payment Amount |
47174.15 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
56 |
Number Of Medical Services |
3240 |
Number Of Medicare Beneficiaries With Medical Services |
712 |
Total Medical Submitted Charge Amount |
517429 |
Total Medical Medicare Allowed Amount |
233526.63 |
Total Medical Medicare Payment Amount |
171942.47 |
Total Medical Medicare Standardized Payment Amount |
171389.87 |
Average Age Of Beneficiaries |
71 |
Number Of Beneficiaries Age Less65 |
138 |
Number Of Beneficiaries Age 65 to 74 |
311 |
Number Of Beneficiaries Age 75 to 84 |
171 |
Number Of Beneficiaries Age Greater 84 |
92 |
Number Of Female Beneficiaries |
319 |
Number Of Male Beneficiaries |
393 |
Number Of Non Hispanic White Beneficiaries |
671 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
14 |
Number Of Beneficiaries With Race Not Else where Classified |
14 |
Number Of Beneficiaries With Medicare Only Entitlement |
565 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
147 |
Percent Of With Atrial Fibrillation |
11 |
Percent Of With Alzheimers Disease or Dementia |
9 |
Percent Of With Asthma |
4 |
Percent Of With Cancer |
10 |
Percent Of With Heart Failure |
14 |
Percent Of With Chronic Kidney Disease |
14 |
Percent Of With Chronic Obstructive Pulmonary Disease |
12 |
Percent Of With Depression |
24 |
Percent Of With Diabetes |
24 |
Percent Of With Hyperlipidemia |
44 |
Percent Of With Hypertension |
55 |
Percent Of With Ischemic Heart Disease |
25 |
Percent Of With Osteoporosis |
13 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
34 |
Percent Of With Schizophrenia Other PsychoticDisorders |
5 |
Percent Of With Stroke |
4 |
Average HCC Risk Score Of Beneficiaries |
1.0112 |