National Provider Identifier [NPI]: |
1073587101 |
Last Name Of The Provider |
MALONE |
First Name Of The Provider |
MICHAEL |
Middle Initial Of The Provider |
R |
Credentials Of The Provider |
DO |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
400 HOSPITAL DR |
Street Address 2 Of The Provider |
STE 201 |
City Of The Provider |
CORSICANA |
Zip Code Of The Provider |
751102489 |
State Code Of The Provider |
TX |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Orthopedic Surgery |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
94 |
Number Of Services |
15544 |
Number Of Medicare Beneficiaries |
756 |
Total Submitted Charge Amount |
1584416 |
Total Medicare Allowed Amount |
380041.74 |
Total Medicare Payment Amount |
281113.83 |
Total Medicare Standardized Payment Amount |
291271.89 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
11294 |
Number Of Medicare Beneficiaries With Drug Services |
412 |
Total Drug Submitted ChargeAmount |
392072 |
Total Drug Medicare AllowedAmount |
60873.12 |
Total Drug Medicare PaymentAmount |
46874.03 |
Total Drug Medicare Standardized Payment Amount |
46874.03 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
92 |
Number Of Medical Services |
4250 |
Number Of Medicare Beneficiaries With Medical Services |
756 |
Total Medical Submitted Charge Amount |
1192344 |
Total Medical Medicare Allowed Amount |
319168.62 |
Total Medical Medicare Payment Amount |
234239.8 |
Total Medical Medicare Standardized Payment Amount |
244397.86 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
133 |
Number Of Beneficiaries Age 65 to 74 |
253 |
Number Of Beneficiaries Age 75 to 84 |
233 |
Number Of Beneficiaries Age Greater 84 |
137 |
Number Of Female Beneficiaries |
522 |
Number Of Male Beneficiaries |
234 |
Number Of Non Hispanic White Beneficiaries |
614 |
Number Of Black or African American Beneficiaries |
101 |
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 |
515 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
241 |
Percent Of With Atrial Fibrillation |
9 |
Percent Of With Alzheimers Disease or Dementia |
12 |
Percent Of With Asthma |
9 |
Percent Of With Cancer |
7 |
Percent Of With Heart Failure |
25 |
Percent Of With Chronic Kidney Disease |
24 |
Percent Of With Chronic Obstructive Pulmonary Disease |
15 |
Percent Of With Depression |
29 |
Percent Of With Diabetes |
36 |
Percent Of With Hyperlipidemia |
67 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
40 |
Percent Of With Osteoporosis |
8 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
75 |
Percent Of With Schizophrenia Other PsychoticDisorders |
5 |
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
1.214 |