National Provider Identifier [NPI]: |
1609073287 |
Last Name Of The Provider |
HARPER |
First Name Of The Provider |
BENJAMIN |
Middle Initial Of The Provider |
L |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
350 LAFAYETTE AVE SE |
Street Address 2 Of The Provider |
4TH FLOOR |
City Of The Provider |
GRAND RAPIDS |
Zip Code Of The Provider |
495034600 |
State Code Of The Provider |
MI |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Orthopedic Surgery |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
58 |
Number Of Services |
1846 |
Number Of Medicare Beneficiaries |
269 |
Total Submitted Charge Amount |
322392 |
Total Medicare Allowed Amount |
139737.23 |
Total Medicare Payment Amount |
105180.91 |
Total Medicare Standardized Payment Amount |
107648.74 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
5 |
Number Of Drug Services |
333 |
Number Of Medicare Beneficiaries With Drug Services |
92 |
Total Drug Submitted ChargeAmount |
15263 |
Total Drug Medicare AllowedAmount |
7314.16 |
Total Drug Medicare PaymentAmount |
5690.99 |
Total Drug Medicare Standardized Payment Amount |
5690.99 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
53 |
Number Of Medical Services |
1513 |
Number Of Medicare Beneficiaries With Medical Services |
269 |
Total Medical Submitted Charge Amount |
307129 |
Total Medical Medicare Allowed Amount |
132423.07 |
Total Medical Medicare Payment Amount |
99489.92 |
Total Medical Medicare Standardized Payment Amount |
101957.75 |
Average Age Of Beneficiaries |
72 |
Number Of Beneficiaries Age Less65 |
59 |
Number Of Beneficiaries Age 65 to 74 |
103 |
Number Of Beneficiaries Age 75 to 84 |
70 |
Number Of Beneficiaries Age Greater 84 |
37 |
Number Of Female Beneficiaries |
180 |
Number Of Male Beneficiaries |
89 |
Number Of Non Hispanic White Beneficiaries |
214 |
Number Of Black or African American Beneficiaries |
27 |
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 |
196 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
73 |
Percent Of With Atrial Fibrillation |
9 |
Percent Of With Alzheimers Disease or Dementia |
9 |
Percent Of With Asthma |
10 |
Percent Of With Cancer |
11 |
Percent Of With Heart Failure |
17 |
Percent Of With Chronic Kidney Disease |
23 |
Percent Of With Chronic Obstructive Pulmonary Disease |
13 |
Percent Of With Depression |
28 |
Percent Of With Diabetes |
32 |
Percent Of With Hyperlipidemia |
51 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
26 |
Percent Of With Osteoporosis |
5 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
73 |
Percent Of With Schizophrenia Other PsychoticDisorders |
5 |
Percent Of With Stroke |
|
Average HCC Risk Score Of Beneficiaries |
1.1593 |