National Provider Identifier [NPI]: |
1851511703 |
Last Name Of The Provider |
SWYMN |
First Name Of The Provider |
JEREMY |
Middle Initial Of The Provider |
P |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1416 E MATTHEWS AVE |
Street Address 2 Of The Provider |
SUITE 200 |
City Of The Provider |
JONESBORO |
Zip Code Of The Provider |
724014362 |
State Code Of The Provider |
AR |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Orthopedic Surgery |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
100 |
Number Of Services |
3587 |
Number Of Medicare Beneficiaries |
497 |
Total Submitted Charge Amount |
646602 |
Total Medicare Allowed Amount |
248640.1 |
Total Medicare Payment Amount |
186783.46 |
Total Medicare Standardized Payment Amount |
206189.13 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
1707 |
Number Of Medicare Beneficiaries With Drug Services |
210 |
Total Drug Submitted ChargeAmount |
36252 |
Total Drug Medicare AllowedAmount |
15195.96 |
Total Drug Medicare PaymentAmount |
11251.61 |
Total Drug Medicare Standardized Payment Amount |
11251.61 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
98 |
Number Of Medical Services |
1880 |
Number Of Medicare Beneficiaries With Medical Services |
496 |
Total Medical Submitted Charge Amount |
610350 |
Total Medical Medicare Allowed Amount |
233444.14 |
Total Medical Medicare Payment Amount |
175531.85 |
Total Medical Medicare Standardized Payment Amount |
194937.52 |
Average Age Of Beneficiaries |
69 |
Number Of Beneficiaries Age Less65 |
120 |
Number Of Beneficiaries Age 65 to 74 |
207 |
Number Of Beneficiaries Age 75 to 84 |
126 |
Number Of Beneficiaries Age Greater 84 |
44 |
Number Of Female Beneficiaries |
324 |
Number Of Male Beneficiaries |
173 |
Number Of Non Hispanic White Beneficiaries |
469 |
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 |
390 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
107 |
Percent Of With Atrial Fibrillation |
11 |
Percent Of With Alzheimers Disease or Dementia |
9 |
Percent Of With Asthma |
5 |
Percent Of With Cancer |
7 |
Percent Of With Heart Failure |
15 |
Percent Of With Chronic Kidney Disease |
15 |
Percent Of With Chronic Obstructive Pulmonary Disease |
16 |
Percent Of With Depression |
28 |
Percent Of With Diabetes |
30 |
Percent Of With Hyperlipidemia |
49 |
Percent Of With Hypertension |
70 |
Percent Of With Ischemic Heart Disease |
34 |
Percent Of With Osteoporosis |
11 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
64 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
1.0736 |