National Provider Identifier [NPI]: |
1457384075 |
Last Name Of The Provider |
KOMAS |
First Name Of The Provider |
NICHOLAS |
Middle Initial Of The Provider |
M |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
131 RALEY BLVD |
Street Address 2 Of The Provider |
|
City Of The Provider |
CHICO |
Zip Code Of The Provider |
959288347 |
State Code Of The Provider |
CA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Orthopedic Surgery |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
64 |
Number Of Services |
1475 |
Number Of Medicare Beneficiaries |
258 |
Total Submitted Charge Amount |
942160.46 |
Total Medicare Allowed Amount |
199378.28 |
Total Medicare Payment Amount |
150369.53 |
Total Medicare Standardized Payment Amount |
148748.89 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
3 |
Number Of Drug Services |
137 |
Number Of Medicare Beneficiaries With Drug Services |
80 |
Total Drug Submitted ChargeAmount |
20468.22 |
Total Drug Medicare AllowedAmount |
9689.82 |
Total Drug Medicare PaymentAmount |
7594.4 |
Total Drug Medicare Standardized Payment Amount |
7594.4 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
61 |
Number Of Medical Services |
1338 |
Number Of Medicare Beneficiaries With Medical Services |
258 |
Total Medical Submitted Charge Amount |
921692.24 |
Total Medical Medicare Allowed Amount |
189688.46 |
Total Medical Medicare Payment Amount |
142775.13 |
Total Medical Medicare Standardized Payment Amount |
141154.49 |
Average Age Of Beneficiaries |
71 |
Number Of Beneficiaries Age Less65 |
31 |
Number Of Beneficiaries Age 65 to 74 |
138 |
Number Of Beneficiaries Age 75 to 84 |
73 |
Number Of Beneficiaries Age Greater 84 |
16 |
Number Of Female Beneficiaries |
134 |
Number Of Male Beneficiaries |
124 |
Number Of Non Hispanic White Beneficiaries |
237 |
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 |
237 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
21 |
Percent Of With Atrial Fibrillation |
8 |
Percent Of With Alzheimers Disease or Dementia |
6 |
Percent Of With Asthma |
7 |
Percent Of With Cancer |
7 |
Percent Of With Heart Failure |
9 |
Percent Of With Chronic Kidney Disease |
15 |
Percent Of With Chronic Obstructive Pulmonary Disease |
8 |
Percent Of With Depression |
17 |
Percent Of With Diabetes |
24 |
Percent Of With Hyperlipidemia |
53 |
Percent Of With Hypertension |
59 |
Percent Of With Ischemic Heart Disease |
24 |
Percent Of With Osteoporosis |
6 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
67 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
4 |
Average HCC Risk Score Of Beneficiaries |
0.8389 |