National Provider Identifier [NPI]: |
1063421956 |
Last Name Of The Provider |
HANCE |
First Name Of The Provider |
JOSEPH |
Middle Initial Of The Provider |
W |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
4048 CEDAR BLUFF DR |
Street Address 2 Of The Provider |
SUITE 1 |
City Of The Provider |
PETOSKEY |
Zip Code Of The Provider |
497708895 |
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 |
123 |
Number Of Services |
7353 |
Number Of Medicare Beneficiaries |
904 |
Total Submitted Charge Amount |
985198 |
Total Medicare Allowed Amount |
428199.18 |
Total Medicare Payment Amount |
321292.03 |
Total Medicare Standardized Payment Amount |
332844.57 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
4 |
Number Of Drug Services |
2888 |
Number Of Medicare Beneficiaries With Drug Services |
424 |
Total Drug Submitted ChargeAmount |
21443 |
Total Drug Medicare AllowedAmount |
18028.16 |
Total Drug Medicare PaymentAmount |
13844.22 |
Total Drug Medicare Standardized Payment Amount |
13844.22 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
119 |
Number Of Medical Services |
4465 |
Number Of Medicare Beneficiaries With Medical Services |
904 |
Total Medical Submitted Charge Amount |
963755 |
Total Medical Medicare Allowed Amount |
410171.02 |
Total Medical Medicare Payment Amount |
307447.81 |
Total Medical Medicare Standardized Payment Amount |
319000.35 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
110 |
Number Of Beneficiaries Age 65 to 74 |
414 |
Number Of Beneficiaries Age 75 to 84 |
272 |
Number Of Beneficiaries Age Greater 84 |
108 |
Number Of Female Beneficiaries |
523 |
Number Of Male Beneficiaries |
381 |
Number Of Non Hispanic White Beneficiaries |
860 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
30 |
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
767 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
137 |
Percent Of With Atrial Fibrillation |
13 |
Percent Of With Alzheimers Disease or Dementia |
6 |
Percent Of With Asthma |
8 |
Percent Of With Cancer |
11 |
Percent Of With Heart Failure |
15 |
Percent Of With Chronic Kidney Disease |
17 |
Percent Of With Chronic Obstructive Pulmonary Disease |
15 |
Percent Of With Depression |
26 |
Percent Of With Diabetes |
28 |
Percent Of With Hyperlipidemia |
55 |
Percent Of With Hypertension |
66 |
Percent Of With Ischemic Heart Disease |
34 |
Percent Of With Osteoporosis |
8 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
75 |
Percent Of With Schizophrenia Other PsychoticDisorders |
2 |
Percent Of With Stroke |
4 |
Average HCC Risk Score Of Beneficiaries |
1.046 |