Medicare Facts for Leo L. Hise, PSRS


National Provider Identifier [NPI]: 1225018302
Last Name Of The Provider HISE
First Name Of The Provider LEO
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 4351 E LOHMAN AVE
Street Address 2 Of The Provider SUITE 301
City Of The Provider LAS CRUCES
Zip Code Of The Provider 880118259
State Code Of The Provider NM
Country Code Of The Provider US
Provider Type Of The Provider Orthopedic Surgery
Medicare Participation Indicator Y
Number Of HCPCS 62
Number Of Services 526
Number Of Medicare Beneficiaries 94
Total Submitted Charge Amount 180517
Total Medicare Allowed Amount 48472.49
Total Medicare Payment Amount 35861.73
Total Medicare Standardized Payment Amount 38199.45
Drug Suppress Indicator
Number Of HCPCS Associated With Drug Services 4
Number Of Drug Services 251
Number Of Medicare Beneficiaries With Drug Services 12
Total Drug Submitted ChargeAmount 8309
Total Drug Medicare AllowedAmount 3057.92
Total Drug Medicare PaymentAmount 2342.77
Total Drug Medicare Standardized Payment Amount 2342.77
Medical SuppressIndicator
Number Of HCPCS Associated With MedicalServices 58
Number Of Medical Services 275
Number Of Medicare Beneficiaries With Medical Services 94
Total Medical Submitted Charge Amount 172208
Total Medical Medicare Allowed Amount 45414.57
Total Medical Medicare Payment Amount 33518.96
Total Medical Medicare Standardized Payment Amount 35856.68
Average Age Of Beneficiaries 70
Number Of Beneficiaries Age Less65 23
Number Of Beneficiaries Age 65 to 74 36
Number Of Beneficiaries Age 75 to 84 23
Number Of Beneficiaries Age Greater 84 12
Number Of Female Beneficiaries 62
Number Of Male Beneficiaries 32
Number Of Non Hispanic White Beneficiaries 68
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 72
Number Of Beneficiaries With Medicare Medicaid Entitlement 22
Percent Of With Atrial Fibrillation
Percent Of With Alzheimers Disease or Dementia 18
Percent Of With Asthma
Percent Of With Cancer
Percent Of With Heart Failure 15
Percent Of With Chronic Kidney Disease 14
Percent Of With Chronic Obstructive Pulmonary Disease 14
Percent Of With Depression 28
Percent Of With Diabetes 27
Percent Of With Hyperlipidemia 62
Percent Of With Hypertension 74
Percent Of With Ischemic Heart Disease 30
Percent Of With Osteoporosis 12
Percent Of With Rheumatoid Arthritis Osteoarthritis 63
Percent Of With Schizophrenia Other PsychoticDisorders
Percent Of With Stroke
Average HCC Risk Score Of Beneficiaries 1.2226

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