National Provider Identifier [NPI]: |
1750475836 |
Last Name Of The Provider |
SMITH |
First Name Of The Provider |
STEVEN |
Middle Initial Of The Provider |
B |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
2790 CLAY EDWARDS DR |
Street Address 2 Of The Provider |
STE 1230 |
City Of The Provider |
NORTH KANSAS CITY |
Zip Code Of The Provider |
641163276 |
State Code Of The Provider |
MO |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Orthopedic Surgery |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
109 |
Number Of Services |
3076 |
Number Of Medicare Beneficiaries |
556 |
Total Submitted Charge Amount |
709590.7 |
Total Medicare Allowed Amount |
279259.88 |
Total Medicare Payment Amount |
212196.74 |
Total Medicare Standardized Payment Amount |
214489.01 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
4 |
Number Of Drug Services |
940 |
Number Of Medicare Beneficiaries With Drug Services |
282 |
Total Drug Submitted ChargeAmount |
38828 |
Total Drug Medicare AllowedAmount |
18854.8 |
Total Drug Medicare PaymentAmount |
14702.38 |
Total Drug Medicare Standardized Payment Amount |
14702.38 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
105 |
Number Of Medical Services |
2136 |
Number Of Medicare Beneficiaries With Medical Services |
556 |
Total Medical Submitted Charge Amount |
670762.7 |
Total Medical Medicare Allowed Amount |
260405.08 |
Total Medical Medicare Payment Amount |
197494.36 |
Total Medical Medicare Standardized Payment Amount |
199786.63 |
Average Age Of Beneficiaries |
72 |
Number Of Beneficiaries Age Less65 |
83 |
Number Of Beneficiaries Age 65 to 74 |
256 |
Number Of Beneficiaries Age 75 to 84 |
147 |
Number Of Beneficiaries Age Greater 84 |
70 |
Number Of Female Beneficiaries |
370 |
Number Of Male Beneficiaries |
186 |
Number Of Non Hispanic White Beneficiaries |
509 |
Number Of Black or African American Beneficiaries |
21 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
11 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
498 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
58 |
Percent Of With Atrial Fibrillation |
12 |
Percent Of With Alzheimers Disease or Dementia |
9 |
Percent Of With Asthma |
9 |
Percent Of With Cancer |
12 |
Percent Of With Heart Failure |
16 |
Percent Of With Chronic Kidney Disease |
20 |
Percent Of With Chronic Obstructive Pulmonary Disease |
16 |
Percent Of With Depression |
26 |
Percent Of With Diabetes |
31 |
Percent Of With Hyperlipidemia |
57 |
Percent Of With Hypertension |
65 |
Percent Of With Ischemic Heart Disease |
32 |
Percent Of With Osteoporosis |
10 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
71 |
Percent Of With Schizophrenia Other PsychoticDisorders |
2 |
Percent Of With Stroke |
3 |
Average HCC Risk Score Of Beneficiaries |
1.1553 |