National Provider Identifier [NPI]: |
1407858475 |
Last Name Of The Provider |
SMITH |
First Name Of The Provider |
STEPHEN |
Middle Initial Of The Provider |
W |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
2001 PEACHTREE RD NE |
Street Address 2 Of The Provider |
SUITE 705 |
City Of The Provider |
ATLANTA |
Zip Code Of The Provider |
303091476 |
State Code Of The Provider |
GA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Orthopedic Surgery |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
48 |
Number Of Services |
3410 |
Number Of Medicare Beneficiaries |
716 |
Total Submitted Charge Amount |
1680095.46 |
Total Medicare Allowed Amount |
419139.66 |
Total Medicare Payment Amount |
321293.32 |
Total Medicare Standardized Payment Amount |
322517.64 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
3 |
Number Of Drug Services |
1165 |
Number Of Medicare Beneficiaries With Drug Services |
226 |
Total Drug Submitted ChargeAmount |
18724.4 |
Total Drug Medicare AllowedAmount |
2125.9 |
Total Drug Medicare PaymentAmount |
1632.65 |
Total Drug Medicare Standardized Payment Amount |
1632.65 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
45 |
Number Of Medical Services |
2245 |
Number Of Medicare Beneficiaries With Medical Services |
716 |
Total Medical Submitted Charge Amount |
1661371.06 |
Total Medical Medicare Allowed Amount |
417013.76 |
Total Medical Medicare Payment Amount |
319660.67 |
Total Medical Medicare Standardized Payment Amount |
320884.99 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
27 |
Number Of Beneficiaries Age 65 to 74 |
377 |
Number Of Beneficiaries Age 75 to 84 |
247 |
Number Of Beneficiaries Age Greater 84 |
65 |
Number Of Female Beneficiaries |
480 |
Number Of Male Beneficiaries |
236 |
Number Of Non Hispanic White Beneficiaries |
623 |
Number Of Black or African American Beneficiaries |
67 |
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 |
695 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
21 |
Percent Of With Atrial Fibrillation |
10 |
Percent Of With Alzheimers Disease or Dementia |
5 |
Percent Of With Asthma |
8 |
Percent Of With Cancer |
10 |
Percent Of With Heart Failure |
9 |
Percent Of With Chronic Kidney Disease |
16 |
Percent Of With Chronic Obstructive Pulmonary Disease |
5 |
Percent Of With Depression |
16 |
Percent Of With Diabetes |
18 |
Percent Of With Hyperlipidemia |
53 |
Percent Of With Hypertension |
65 |
Percent Of With Ischemic Heart Disease |
30 |
Percent Of With Osteoporosis |
9 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
75 |
Percent Of With Schizophrenia Other PsychoticDisorders |
2 |
Percent Of With Stroke |
3 |
Average HCC Risk Score Of Beneficiaries |
0.8947 |