National Provider Identifier [NPI]: |
1407075732 |
Last Name Of The Provider |
CORDELL |
First Name Of The Provider |
CARI |
Middle Initial Of The Provider |
L |
Credentials Of The Provider |
MD |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1662 HIGDON FERRY RD |
Street Address 2 Of The Provider |
SUITE 300 |
City Of The Provider |
HOT SPRINGS |
Zip Code Of The Provider |
719136999 |
State Code Of The Provider |
AR |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Orthopedic Surgery |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
111 |
Number Of Services |
3873 |
Number Of Medicare Beneficiaries |
657 |
Total Submitted Charge Amount |
668141 |
Total Medicare Allowed Amount |
333904.42 |
Total Medicare Payment Amount |
251609.18 |
Total Medicare Standardized Payment Amount |
277116.66 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
3 |
Number Of Drug Services |
1709 |
Number Of Medicare Beneficiaries With Drug Services |
199 |
Total Drug Submitted ChargeAmount |
64117 |
Total Drug Medicare AllowedAmount |
48268.03 |
Total Drug Medicare PaymentAmount |
37729.22 |
Total Drug Medicare Standardized Payment Amount |
37729.22 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
108 |
Number Of Medical Services |
2164 |
Number Of Medicare Beneficiaries With Medical Services |
657 |
Total Medical Submitted Charge Amount |
604024 |
Total Medical Medicare Allowed Amount |
285636.39 |
Total Medical Medicare Payment Amount |
213879.96 |
Total Medical Medicare Standardized Payment Amount |
239387.44 |
Average Age Of Beneficiaries |
72 |
Number Of Beneficiaries Age Less65 |
89 |
Number Of Beneficiaries Age 65 to 74 |
315 |
Number Of Beneficiaries Age 75 to 84 |
197 |
Number Of Beneficiaries Age Greater 84 |
56 |
Number Of Female Beneficiaries |
395 |
Number Of Male Beneficiaries |
262 |
Number Of Non Hispanic White Beneficiaries |
623 |
Number Of Black or African American Beneficiaries |
17 |
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 |
590 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
67 |
Percent Of With Atrial Fibrillation |
10 |
Percent Of With Alzheimers Disease or Dementia |
7 |
Percent Of With Asthma |
7 |
Percent Of With Cancer |
11 |
Percent Of With Heart Failure |
12 |
Percent Of With Chronic Kidney Disease |
12 |
Percent Of With Chronic Obstructive Pulmonary Disease |
13 |
Percent Of With Depression |
22 |
Percent Of With Diabetes |
26 |
Percent Of With Hyperlipidemia |
58 |
Percent Of With Hypertension |
66 |
Percent Of With Ischemic Heart Disease |
34 |
Percent Of With Osteoporosis |
10 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
62 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
4 |
Average HCC Risk Score Of Beneficiaries |
1.036 |