National Provider Identifier [NPI]: |
1689793507 |
Last Name Of The Provider |
LUBER |
First Name Of The Provider |
KURRE |
Middle Initial Of The Provider |
T |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
497 AZALEA DR STE 102 |
Street Address 2 Of The Provider |
|
City Of The Provider |
OXFORD |
Zip Code Of The Provider |
386557906 |
State Code Of The Provider |
MS |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Orthopedic Surgery |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
145 |
Number Of Services |
17303 |
Number Of Medicare Beneficiaries |
759 |
Total Submitted Charge Amount |
1545208 |
Total Medicare Allowed Amount |
532687.18 |
Total Medicare Payment Amount |
399869.7 |
Total Medicare Standardized Payment Amount |
432296.11 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
13082 |
Number Of Medicare Beneficiaries With Drug Services |
375 |
Total Drug Submitted ChargeAmount |
197240 |
Total Drug Medicare AllowedAmount |
136412.14 |
Total Drug Medicare PaymentAmount |
105674.39 |
Total Drug Medicare Standardized Payment Amount |
105674.39 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
143 |
Number Of Medical Services |
4221 |
Number Of Medicare Beneficiaries With Medical Services |
759 |
Total Medical Submitted Charge Amount |
1347968 |
Total Medical Medicare Allowed Amount |
396275.04 |
Total Medical Medicare Payment Amount |
294195.31 |
Total Medical Medicare Standardized Payment Amount |
326621.72 |
Average Age Of Beneficiaries |
70 |
Number Of Beneficiaries Age Less65 |
162 |
Number Of Beneficiaries Age 65 to 74 |
325 |
Number Of Beneficiaries Age 75 to 84 |
201 |
Number Of Beneficiaries Age Greater 84 |
71 |
Number Of Female Beneficiaries |
498 |
Number Of Male Beneficiaries |
261 |
Number Of Non Hispanic White Beneficiaries |
610 |
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 |
535 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
224 |
Percent Of With Atrial Fibrillation |
8 |
Percent Of With Alzheimers Disease or Dementia |
9 |
Percent Of With Asthma |
5 |
Percent Of With Cancer |
7 |
Percent Of With Heart Failure |
19 |
Percent Of With Chronic Kidney Disease |
19 |
Percent Of With Chronic Obstructive Pulmonary Disease |
14 |
Percent Of With Depression |
22 |
Percent Of With Diabetes |
30 |
Percent Of With Hyperlipidemia |
49 |
Percent Of With Hypertension |
68 |
Percent Of With Ischemic Heart Disease |
35 |
Percent Of With Osteoporosis |
8 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
61 |
Percent Of With Schizophrenia Other PsychoticDisorders |
4 |
Percent Of With Stroke |
3 |
Average HCC Risk Score Of Beneficiaries |
1.0911 |