National Provider Identifier [NPI]: |
1497973754 |
Last Name Of The Provider |
SMUCKER |
First Name Of The Provider |
CRAIG |
Middle Initial Of The Provider |
G |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
5936 LIMESTONE RD |
Street Address 2 Of The Provider |
SUITE 202 |
City Of The Provider |
HOCKESSIN |
Zip Code Of The Provider |
197078930 |
State Code Of The Provider |
DE |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Orthopedic Surgery |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
93 |
Number Of Services |
2001 |
Number Of Medicare Beneficiaries |
367 |
Total Submitted Charge Amount |
1025182 |
Total Medicare Allowed Amount |
254605.42 |
Total Medicare Payment Amount |
196947.17 |
Total Medicare Standardized Payment Amount |
192472.63 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
1036 |
Number Of Medicare Beneficiaries With Drug Services |
66 |
Total Drug Submitted ChargeAmount |
25288 |
Total Drug Medicare AllowedAmount |
12112.07 |
Total Drug Medicare PaymentAmount |
9380.6 |
Total Drug Medicare Standardized Payment Amount |
9380.6 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
91 |
Number Of Medical Services |
965 |
Number Of Medicare Beneficiaries With Medical Services |
367 |
Total Medical Submitted Charge Amount |
999894 |
Total Medical Medicare Allowed Amount |
242493.35 |
Total Medical Medicare Payment Amount |
187566.57 |
Total Medical Medicare Standardized Payment Amount |
183092.03 |
Average Age Of Beneficiaries |
76 |
Number Of Beneficiaries Age Less65 |
41 |
Number Of Beneficiaries Age 65 to 74 |
113 |
Number Of Beneficiaries Age 75 to 84 |
116 |
Number Of Beneficiaries Age Greater 84 |
97 |
Number Of Female Beneficiaries |
238 |
Number Of Male Beneficiaries |
129 |
Number Of Non Hispanic White Beneficiaries |
336 |
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 |
300 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
67 |
Percent Of With Atrial Fibrillation |
25 |
Percent Of With Alzheimers Disease or Dementia |
26 |
Percent Of With Asthma |
13 |
Percent Of With Cancer |
11 |
Percent Of With Heart Failure |
29 |
Percent Of With Chronic Kidney Disease |
26 |
Percent Of With Chronic Obstructive Pulmonary Disease |
25 |
Percent Of With Depression |
34 |
Percent Of With Diabetes |
28 |
Percent Of With Hyperlipidemia |
59 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
43 |
Percent Of With Osteoporosis |
19 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
68 |
Percent Of With Schizophrenia Other PsychoticDisorders |
5 |
Percent Of With Stroke |
7 |
Average HCC Risk Score Of Beneficiaries |
1.5577 |