National Provider Identifier [NPI]: |
1821080441 |
Last Name Of The Provider |
CRAIG |
First Name Of The Provider |
MARCIS |
Middle Initial Of The Provider |
A |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1113 WOODLAND DR |
Street Address 2 Of The Provider |
|
City Of The Provider |
ELIZABETHTOWN |
Zip Code Of The Provider |
427012749 |
State Code Of The Provider |
KY |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Orthopedic Surgery |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
137 |
Number Of Services |
13373 |
Number Of Medicare Beneficiaries |
1152 |
Total Submitted Charge Amount |
1103356 |
Total Medicare Allowed Amount |
541372.45 |
Total Medicare Payment Amount |
408704.77 |
Total Medicare Standardized Payment Amount |
442613.14 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
4 |
Number Of Drug Services |
9014 |
Number Of Medicare Beneficiaries With Drug Services |
454 |
Total Drug Submitted ChargeAmount |
129500 |
Total Drug Medicare AllowedAmount |
52545.83 |
Total Drug Medicare PaymentAmount |
40012.73 |
Total Drug Medicare Standardized Payment Amount |
40012.73 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
133 |
Number Of Medical Services |
4359 |
Number Of Medicare Beneficiaries With Medical Services |
1152 |
Total Medical Submitted Charge Amount |
973856 |
Total Medical Medicare Allowed Amount |
488826.62 |
Total Medical Medicare Payment Amount |
368692.04 |
Total Medical Medicare Standardized Payment Amount |
402600.41 |
Average Age Of Beneficiaries |
71 |
Number Of Beneficiaries Age Less65 |
241 |
Number Of Beneficiaries Age 65 to 74 |
463 |
Number Of Beneficiaries Age 75 to 84 |
339 |
Number Of Beneficiaries Age Greater 84 |
109 |
Number Of Female Beneficiaries |
777 |
Number Of Male Beneficiaries |
375 |
Number Of Non Hispanic White Beneficiaries |
1052 |
Number Of Black or African American Beneficiaries |
69 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
12 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
886 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
266 |
Percent Of With Atrial Fibrillation |
8 |
Percent Of With Alzheimers Disease or Dementia |
10 |
Percent Of With Asthma |
13 |
Percent Of With Cancer |
8 |
Percent Of With Heart Failure |
25 |
Percent Of With Chronic Kidney Disease |
23 |
Percent Of With Chronic Obstructive Pulmonary Disease |
22 |
Percent Of With Depression |
31 |
Percent Of With Diabetes |
37 |
Percent Of With Hyperlipidemia |
61 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
30 |
Percent Of With Osteoporosis |
13 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
68 |
Percent Of With Schizophrenia Other PsychoticDisorders |
4 |
Percent Of With Stroke |
4 |
Average HCC Risk Score Of Beneficiaries |
1.2871 |