National Provider Identifier [NPI]: |
1952362097 |
Last Name Of The Provider |
HINKES |
First Name Of The Provider |
CLIFFORD |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
10400 CONNECTICUT AVE |
Street Address 2 Of The Provider |
CONCOURSE LEVEL |
City Of The Provider |
KENSINGTON |
Zip Code Of The Provider |
208953910 |
State Code Of The Provider |
MD |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Orthopedic Surgery |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
85 |
Number Of Services |
2752 |
Number Of Medicare Beneficiaries |
407 |
Total Submitted Charge Amount |
458482.12 |
Total Medicare Allowed Amount |
153664.66 |
Total Medicare Payment Amount |
114937.19 |
Total Medicare Standardized Payment Amount |
97929.72 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
357 |
Number Of Medicare Beneficiaries With Drug Services |
128 |
Total Drug Submitted ChargeAmount |
9336 |
Total Drug Medicare AllowedAmount |
2889.32 |
Total Drug Medicare PaymentAmount |
2242.88 |
Total Drug Medicare Standardized Payment Amount |
2242.88 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
83 |
Number Of Medical Services |
2395 |
Number Of Medicare Beneficiaries With Medical Services |
407 |
Total Medical Submitted Charge Amount |
449146.12 |
Total Medical Medicare Allowed Amount |
150775.34 |
Total Medical Medicare Payment Amount |
112694.31 |
Total Medical Medicare Standardized Payment Amount |
95686.84 |
Average Age Of Beneficiaries |
76 |
Number Of Beneficiaries Age Less65 |
30 |
Number Of Beneficiaries Age 65 to 74 |
158 |
Number Of Beneficiaries Age 75 to 84 |
129 |
Number Of Beneficiaries Age Greater 84 |
90 |
Number Of Female Beneficiaries |
264 |
Number Of Male Beneficiaries |
143 |
Number Of Non Hispanic White Beneficiaries |
288 |
Number Of Black or African American Beneficiaries |
66 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
31 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
348 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
59 |
Percent Of With Atrial Fibrillation |
10 |
Percent Of With Alzheimers Disease or Dementia |
15 |
Percent Of With Asthma |
7 |
Percent Of With Cancer |
11 |
Percent Of With Heart Failure |
15 |
Percent Of With Chronic Kidney Disease |
22 |
Percent Of With Chronic Obstructive Pulmonary Disease |
10 |
Percent Of With Depression |
17 |
Percent Of With Diabetes |
34 |
Percent Of With Hyperlipidemia |
57 |
Percent Of With Hypertension |
72 |
Percent Of With Ischemic Heart Disease |
29 |
Percent Of With Osteoporosis |
14 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
64 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
1.2259 |