National Provider Identifier [NPI]: |
1134206816 |
Last Name Of The Provider |
HUTCHINSON |
First Name Of The Provider |
ANDREW |
Middle Initial Of The Provider |
J |
Credentials Of The Provider |
DO |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
701 JEFFERSON ST |
Street Address 2 Of The Provider |
|
City Of The Provider |
WHITEVILLE |
Zip Code Of The Provider |
284723704 |
State Code Of The Provider |
NC |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
General Surgery |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
277 |
Number Of Services |
6801 |
Number Of Medicare Beneficiaries |
912 |
Total Submitted Charge Amount |
2776354.2 |
Total Medicare Allowed Amount |
787198.89 |
Total Medicare Payment Amount |
602530.17 |
Total Medicare Standardized Payment Amount |
642075.29 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
9 |
Number Of Drug Services |
3058 |
Number Of Medicare Beneficiaries With Drug Services |
37 |
Total Drug Submitted ChargeAmount |
1161.6 |
Total Drug Medicare AllowedAmount |
651.58 |
Total Drug Medicare PaymentAmount |
437.41 |
Total Drug Medicare Standardized Payment Amount |
437.41 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
268 |
Number Of Medical Services |
3743 |
Number Of Medicare Beneficiaries With Medical Services |
912 |
Total Medical Submitted Charge Amount |
2775192.6 |
Total Medical Medicare Allowed Amount |
786547.31 |
Total Medical Medicare Payment Amount |
602092.76 |
Total Medical Medicare Standardized Payment Amount |
641637.88 |
Average Age Of Beneficiaries |
70 |
Number Of Beneficiaries Age Less65 |
242 |
Number Of Beneficiaries Age 65 to 74 |
355 |
Number Of Beneficiaries Age 75 to 84 |
239 |
Number Of Beneficiaries Age Greater 84 |
76 |
Number Of Female Beneficiaries |
535 |
Number Of Male Beneficiaries |
377 |
Number Of Non Hispanic White Beneficiaries |
618 |
Number Of Black or African American Beneficiaries |
272 |
Number Of AsianPacific Islander Beneficiaries |
0 |
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 |
518 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
394 |
Percent Of With Atrial Fibrillation |
10 |
Percent Of With Alzheimers Disease or Dementia |
17 |
Percent Of With Asthma |
10 |
Percent Of With Cancer |
12 |
Percent Of With Heart Failure |
31 |
Percent Of With Chronic Kidney Disease |
34 |
Percent Of With Chronic Obstructive Pulmonary Disease |
28 |
Percent Of With Depression |
23 |
Percent Of With Diabetes |
48 |
Percent Of With Hyperlipidemia |
71 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
45 |
Percent Of With Osteoporosis |
7 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
45 |
Percent Of With Schizophrenia Other PsychoticDisorders |
5 |
Percent Of With Stroke |
7 |
Average HCC Risk Score Of Beneficiaries |
1.8228 |