Medicare Facts for Dr. John C. Smith, MD


National Provider Identifier [NPI]: 1073522546
Last Name Of The Provider SMITH
First Name Of The Provider JOHN
Middle Initial Of The Provider C
Credentials Of The Provider MD
Gender Of The Provider M
Entity Type Of The Provider I
Street Address 1 Of The Provider 201 S 7TH ST
Street Address 2 Of The Provider
City Of The Provider OZARK
Zip Code Of The Provider 729493131
State Code Of The Provider AR
Country Code Of The Provider US
Provider Type Of The Provider General Surgery
Medicare Participation Indicator Y
Number Of HCPCS 83
Number Of Services 458
Number Of Medicare Beneficiaries 279
Total Submitted Charge Amount 162373
Total Medicare Allowed Amount 56875.38
Total Medicare Payment Amount 41368.86
Total Medicare Standardized Payment Amount 46822.78
Drug Suppress Indicator
Number Of HCPCS Associated With Drug Services 0
Number Of Drug Services 0
Number Of Medicare Beneficiaries With Drug Services 0
Total Drug Submitted ChargeAmount 0
Total Drug Medicare AllowedAmount 0
Total Drug Medicare PaymentAmount 0
Total Drug Medicare Standardized Payment Amount 0
Medical SuppressIndicator
Number Of HCPCS Associated With MedicalServices 83
Number Of Medical Services 458
Number Of Medicare Beneficiaries With Medical Services 279
Total Medical Submitted Charge Amount 162373
Total Medical Medicare Allowed Amount 56875.38
Total Medical Medicare Payment Amount 41368.86
Total Medical Medicare Standardized Payment Amount 46822.78
Average Age Of Beneficiaries 74
Number Of Beneficiaries Age Less65 43
Number Of Beneficiaries Age 65 to 74 102
Number Of Beneficiaries Age 75 to 84 77
Number Of Beneficiaries Age Greater 84 57
Number Of Female Beneficiaries 150
Number Of Male Beneficiaries 129
Number Of Non Hispanic White Beneficiaries
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 195
Number Of Beneficiaries With Medicare Medicaid Entitlement 84
Percent Of With Atrial Fibrillation 10
Percent Of With Alzheimers Disease or Dementia 15
Percent Of With Asthma 4
Percent Of With Cancer 10
Percent Of With Heart Failure 23
Percent Of With Chronic Kidney Disease 18
Percent Of With Chronic Obstructive Pulmonary Disease 15
Percent Of With Depression 14
Percent Of With Diabetes 29
Percent Of With Hyperlipidemia 39
Percent Of With Hypertension 65
Percent Of With Ischemic Heart Disease 33
Percent Of With Osteoporosis 5
Percent Of With Rheumatoid Arthritis Osteoarthritis 24
Percent Of With Schizophrenia Other PsychoticDisorders 4
Percent Of With Stroke 6
Average HCC Risk Score Of Beneficiaries 1.1187

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