National Provider Identifier [NPI]: |
1508864208 |
Last Name Of The Provider |
BARNTHOUSE |
First Name Of The Provider |
CRIS |
Middle Initial Of The Provider |
D |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
3651 COLLEGE BLVD |
Street Address 2 Of The Provider |
#100A |
City Of The Provider |
LEAWOOD |
Zip Code Of The Provider |
662111904 |
State Code Of The Provider |
KS |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Orthopedic Surgery |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
59 |
Number Of Services |
2279 |
Number Of Medicare Beneficiaries |
278 |
Total Submitted Charge Amount |
640019.16 |
Total Medicare Allowed Amount |
130667.92 |
Total Medicare Payment Amount |
97899.93 |
Total Medicare Standardized Payment Amount |
104754.59 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
5 |
Number Of Drug Services |
1360 |
Number Of Medicare Beneficiaries With Drug Services |
73 |
Total Drug Submitted ChargeAmount |
23652.16 |
Total Drug Medicare AllowedAmount |
17408.14 |
Total Drug Medicare PaymentAmount |
12920.23 |
Total Drug Medicare Standardized Payment Amount |
12920.23 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
54 |
Number Of Medical Services |
919 |
Number Of Medicare Beneficiaries With Medical Services |
278 |
Total Medical Submitted Charge Amount |
616367 |
Total Medical Medicare Allowed Amount |
113259.78 |
Total Medical Medicare Payment Amount |
84979.7 |
Total Medical Medicare Standardized Payment Amount |
91834.36 |
Average Age Of Beneficiaries |
71 |
Number Of Beneficiaries Age Less65 |
13 |
Number Of Beneficiaries Age 65 to 74 |
193 |
Number Of Beneficiaries Age 75 to 84 |
60 |
Number Of Beneficiaries Age Greater 84 |
12 |
Number Of Female Beneficiaries |
157 |
Number Of Male Beneficiaries |
121 |
Number Of Non Hispanic White Beneficiaries |
262 |
Number Of Black or African American Beneficiaries |
|
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 |
|
Number Of Beneficiaries With Medicare Medicaid Entitlement |
|
Percent Of With Atrial Fibrillation |
9 |
Percent Of With Alzheimers Disease or Dementia |
|
Percent Of With Asthma |
4 |
Percent Of With Cancer |
10 |
Percent Of With Heart Failure |
5 |
Percent Of With Chronic Kidney Disease |
10 |
Percent Of With Chronic Obstructive Pulmonary Disease |
6 |
Percent Of With Depression |
15 |
Percent Of With Diabetes |
15 |
Percent Of With Hyperlipidemia |
55 |
Percent Of With Hypertension |
58 |
Percent Of With Ischemic Heart Disease |
30 |
Percent Of With Osteoporosis |
4 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
75 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
|
Average HCC Risk Score Of Beneficiaries |
0.6927 |