National Provider Identifier [NPI]: |
1093740367 |
Last Name Of The Provider |
HUTCHESON |
First Name Of The Provider |
RICKEY |
Middle Initial Of The Provider |
L |
Credentials Of The Provider |
D.O. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
2350 NORTH OCOEE STREET |
Street Address 2 Of The Provider |
|
City Of The Provider |
CLEVELAND |
Zip Code Of The Provider |
37311 |
State Code Of The Provider |
TN |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Orthopedic Surgery |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
174 |
Number Of Services |
3932 |
Number Of Medicare Beneficiaries |
742 |
Total Submitted Charge Amount |
1168079 |
Total Medicare Allowed Amount |
407482.1 |
Total Medicare Payment Amount |
303555.31 |
Total Medicare Standardized Payment Amount |
331548.25 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
777 |
Number Of Medicare Beneficiaries With Drug Services |
220 |
Total Drug Submitted ChargeAmount |
17895 |
Total Drug Medicare AllowedAmount |
273.14 |
Total Drug Medicare PaymentAmount |
200.57 |
Total Drug Medicare Standardized Payment Amount |
200.57 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
172 |
Number Of Medical Services |
3155 |
Number Of Medicare Beneficiaries With Medical Services |
742 |
Total Medical Submitted Charge Amount |
1150184 |
Total Medical Medicare Allowed Amount |
407208.96 |
Total Medical Medicare Payment Amount |
303354.74 |
Total Medical Medicare Standardized Payment Amount |
331347.68 |
Average Age Of Beneficiaries |
69 |
Number Of Beneficiaries Age Less65 |
195 |
Number Of Beneficiaries Age 65 to 74 |
287 |
Number Of Beneficiaries Age 75 to 84 |
180 |
Number Of Beneficiaries Age Greater 84 |
80 |
Number Of Female Beneficiaries |
467 |
Number Of Male Beneficiaries |
275 |
Number Of Non Hispanic White Beneficiaries |
707 |
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 |
505 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
237 |
Percent Of With Atrial Fibrillation |
10 |
Percent Of With Alzheimers Disease or Dementia |
13 |
Percent Of With Asthma |
10 |
Percent Of With Cancer |
8 |
Percent Of With Heart Failure |
14 |
Percent Of With Chronic Kidney Disease |
26 |
Percent Of With Chronic Obstructive Pulmonary Disease |
24 |
Percent Of With Depression |
30 |
Percent Of With Diabetes |
38 |
Percent Of With Hyperlipidemia |
58 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
33 |
Percent Of With Osteoporosis |
11 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
67 |
Percent Of With Schizophrenia Other PsychoticDisorders |
5 |
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
1.303 |