National Provider Identifier [NPI]: |
1508954801 |
Last Name Of The Provider |
HOWARD |
First Name Of The Provider |
CLINTON |
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 |
6144 AIRPORT BLVD |
Street Address 2 Of The Provider |
|
City Of The Provider |
MOBILE |
Zip Code Of The Provider |
366083143 |
State Code Of The Provider |
AL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Orthopedic Surgery |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
91 |
Number Of Services |
3026 |
Number Of Medicare Beneficiaries |
724 |
Total Submitted Charge Amount |
1286282 |
Total Medicare Allowed Amount |
324058.6 |
Total Medicare Payment Amount |
244421.74 |
Total Medicare Standardized Payment Amount |
271317.7 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
3 |
Number Of Drug Services |
381 |
Number Of Medicare Beneficiaries With Drug Services |
125 |
Total Drug Submitted ChargeAmount |
7537 |
Total Drug Medicare AllowedAmount |
699.75 |
Total Drug Medicare PaymentAmount |
519.63 |
Total Drug Medicare Standardized Payment Amount |
519.63 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
88 |
Number Of Medical Services |
2645 |
Number Of Medicare Beneficiaries With Medical Services |
724 |
Total Medical Submitted Charge Amount |
1278745 |
Total Medical Medicare Allowed Amount |
323358.85 |
Total Medical Medicare Payment Amount |
243902.11 |
Total Medical Medicare Standardized Payment Amount |
270798.07 |
Average Age Of Beneficiaries |
71 |
Number Of Beneficiaries Age Less65 |
134 |
Number Of Beneficiaries Age 65 to 74 |
310 |
Number Of Beneficiaries Age 75 to 84 |
199 |
Number Of Beneficiaries Age Greater 84 |
81 |
Number Of Female Beneficiaries |
462 |
Number Of Male Beneficiaries |
262 |
Number Of Non Hispanic White Beneficiaries |
591 |
Number Of Black or African American Beneficiaries |
118 |
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 |
623 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
101 |
Percent Of With Atrial Fibrillation |
11 |
Percent Of With Alzheimers Disease or Dementia |
12 |
Percent Of With Asthma |
7 |
Percent Of With Cancer |
10 |
Percent Of With Heart Failure |
16 |
Percent Of With Chronic Kidney Disease |
17 |
Percent Of With Chronic Obstructive Pulmonary Disease |
13 |
Percent Of With Depression |
18 |
Percent Of With Diabetes |
31 |
Percent Of With Hyperlipidemia |
60 |
Percent Of With Hypertension |
74 |
Percent Of With Ischemic Heart Disease |
40 |
Percent Of With Osteoporosis |
10 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
66 |
Percent Of With Schizophrenia Other PsychoticDisorders |
2 |
Percent Of With Stroke |
6 |
Average HCC Risk Score Of Beneficiaries |
1.1426 |