National Provider Identifier [NPI]: |
1609835107 |
Last Name Of The Provider |
MORRIS |
First Name Of The Provider |
SCOTT |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
48 MEDICAL PARK EAST DRIVE |
Street Address 2 Of The Provider |
SUITE 255 |
City Of The Provider |
BIRMINGHAM |
Zip Code Of The Provider |
35235 |
State Code Of The Provider |
AL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Orthopedic Surgery |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
121 |
Number Of Services |
5090 |
Number Of Medicare Beneficiaries |
556 |
Total Submitted Charge Amount |
1096951 |
Total Medicare Allowed Amount |
322107.66 |
Total Medicare Payment Amount |
243182.08 |
Total Medicare Standardized Payment Amount |
268524.88 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
4 |
Number Of Drug Services |
1192 |
Number Of Medicare Beneficiaries With Drug Services |
196 |
Total Drug Submitted ChargeAmount |
13536 |
Total Drug Medicare AllowedAmount |
7576.9 |
Total Drug Medicare PaymentAmount |
5619.48 |
Total Drug Medicare Standardized Payment Amount |
5619.48 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
117 |
Number Of Medical Services |
3898 |
Number Of Medicare Beneficiaries With Medical Services |
556 |
Total Medical Submitted Charge Amount |
1083415 |
Total Medical Medicare Allowed Amount |
314530.76 |
Total Medical Medicare Payment Amount |
237562.6 |
Total Medical Medicare Standardized Payment Amount |
262905.4 |
Average Age Of Beneficiaries |
69 |
Number Of Beneficiaries Age Less65 |
125 |
Number Of Beneficiaries Age 65 to 74 |
249 |
Number Of Beneficiaries Age 75 to 84 |
146 |
Number Of Beneficiaries Age Greater 84 |
36 |
Number Of Female Beneficiaries |
403 |
Number Of Male Beneficiaries |
153 |
Number Of Non Hispanic White Beneficiaries |
498 |
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 |
468 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
88 |
Percent Of With Atrial Fibrillation |
11 |
Percent Of With Alzheimers Disease or Dementia |
10 |
Percent Of With Asthma |
10 |
Percent Of With Cancer |
5 |
Percent Of With Heart Failure |
20 |
Percent Of With Chronic Kidney Disease |
26 |
Percent Of With Chronic Obstructive Pulmonary Disease |
13 |
Percent Of With Depression |
25 |
Percent Of With Diabetes |
37 |
Percent Of With Hyperlipidemia |
62 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
35 |
Percent Of With Osteoporosis |
10 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
66 |
Percent Of With Schizophrenia Other PsychoticDisorders |
4 |
Percent Of With Stroke |
6 |
Average HCC Risk Score Of Beneficiaries |
1.3204 |