National Provider Identifier [NPI]: |
1184672453 |
Last Name Of The Provider |
CANTRELL |
First Name Of The Provider |
MICHAEL |
Middle Initial Of The Provider |
W |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
927 FRANKLIN ST SE |
Street Address 2 Of The Provider |
THE ORTHOPAEDIC CENTER |
City Of The Provider |
HUNTSVILLE |
Zip Code Of The Provider |
358014306 |
State Code Of The Provider |
AL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Sports Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
104 |
Number Of Services |
9514 |
Number Of Medicare Beneficiaries |
997 |
Total Submitted Charge Amount |
1263045 |
Total Medicare Allowed Amount |
417564.8 |
Total Medicare Payment Amount |
307622.28 |
Total Medicare Standardized Payment Amount |
344400.09 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
6 |
Number Of Drug Services |
6203 |
Number Of Medicare Beneficiaries With Drug Services |
327 |
Total Drug Submitted ChargeAmount |
241487 |
Total Drug Medicare AllowedAmount |
93349.06 |
Total Drug Medicare PaymentAmount |
71443.25 |
Total Drug Medicare Standardized Payment Amount |
71443.25 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
98 |
Number Of Medical Services |
3311 |
Number Of Medicare Beneficiaries With Medical Services |
996 |
Total Medical Submitted Charge Amount |
1021558 |
Total Medical Medicare Allowed Amount |
324215.74 |
Total Medical Medicare Payment Amount |
236179.03 |
Total Medical Medicare Standardized Payment Amount |
272956.84 |
Average Age Of Beneficiaries |
69 |
Number Of Beneficiaries Age Less65 |
223 |
Number Of Beneficiaries Age 65 to 74 |
480 |
Number Of Beneficiaries Age 75 to 84 |
235 |
Number Of Beneficiaries Age Greater 84 |
59 |
Number Of Female Beneficiaries |
610 |
Number Of Male Beneficiaries |
387 |
Number Of Non Hispanic White Beneficiaries |
827 |
Number Of Black or African American Beneficiaries |
145 |
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 |
799 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
198 |
Percent Of With Atrial Fibrillation |
8 |
Percent Of With Alzheimers Disease or Dementia |
7 |
Percent Of With Asthma |
10 |
Percent Of With Cancer |
8 |
Percent Of With Heart Failure |
15 |
Percent Of With Chronic Kidney Disease |
20 |
Percent Of With Chronic Obstructive Pulmonary Disease |
14 |
Percent Of With Depression |
22 |
Percent Of With Diabetes |
30 |
Percent Of With Hyperlipidemia |
55 |
Percent Of With Hypertension |
72 |
Percent Of With Ischemic Heart Disease |
30 |
Percent Of With Osteoporosis |
8 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
73 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
4 |
Average HCC Risk Score Of Beneficiaries |
1.0892 |