National Provider Identifier [NPI]: |
1285721274 |
Last Name Of The Provider |
CUSHING |
First Name Of The Provider |
MICHAEL |
Middle Initial Of The Provider |
V |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1755 HIGHWAY 34 E |
Street Address 2 Of The Provider |
SUITE 220 |
City Of The Provider |
NEWNAN |
Zip Code Of The Provider |
302655631 |
State Code Of The Provider |
GA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Orthopedic Surgery |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
105 |
Number Of Services |
4184 |
Number Of Medicare Beneficiaries |
549 |
Total Submitted Charge Amount |
1114861 |
Total Medicare Allowed Amount |
335368.83 |
Total Medicare Payment Amount |
248151.53 |
Total Medicare Standardized Payment Amount |
261054.58 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
4 |
Number Of Drug Services |
1253 |
Number Of Medicare Beneficiaries With Drug Services |
267 |
Total Drug Submitted ChargeAmount |
98877 |
Total Drug Medicare AllowedAmount |
23121.81 |
Total Drug Medicare PaymentAmount |
17719.12 |
Total Drug Medicare Standardized Payment Amount |
17719.12 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
101 |
Number Of Medical Services |
2931 |
Number Of Medicare Beneficiaries With Medical Services |
549 |
Total Medical Submitted Charge Amount |
1015984 |
Total Medical Medicare Allowed Amount |
312247.02 |
Total Medical Medicare Payment Amount |
230432.41 |
Total Medical Medicare Standardized Payment Amount |
243335.46 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
62 |
Number Of Beneficiaries Age 65 to 74 |
275 |
Number Of Beneficiaries Age 75 to 84 |
138 |
Number Of Beneficiaries Age Greater 84 |
74 |
Number Of Female Beneficiaries |
354 |
Number Of Male Beneficiaries |
195 |
Number Of Non Hispanic White Beneficiaries |
474 |
Number Of Black or African American Beneficiaries |
58 |
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 |
475 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
74 |
Percent Of With Atrial Fibrillation |
12 |
Percent Of With Alzheimers Disease or Dementia |
14 |
Percent Of With Asthma |
6 |
Percent Of With Cancer |
10 |
Percent Of With Heart Failure |
12 |
Percent Of With Chronic Kidney Disease |
20 |
Percent Of With Chronic Obstructive Pulmonary Disease |
11 |
Percent Of With Depression |
22 |
Percent Of With Diabetes |
31 |
Percent Of With Hyperlipidemia |
57 |
Percent Of With Hypertension |
69 |
Percent Of With Ischemic Heart Disease |
28 |
Percent Of With Osteoporosis |
10 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
56 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
1.0643 |