National Provider Identifier [NPI]: |
1639172760 |
Last Name Of The Provider |
CARROLL |
First Name Of The Provider |
DANNY |
Middle Initial Of The Provider |
K |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
17067 S OUTER RD |
Street Address 2 Of The Provider |
SUITE 200 |
City Of The Provider |
BELTON |
Zip Code Of The Provider |
640122165 |
State Code Of The Provider |
MO |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Orthopedic Surgery |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
172 |
Number Of Services |
3844 |
Number Of Medicare Beneficiaries |
663 |
Total Submitted Charge Amount |
1441245 |
Total Medicare Allowed Amount |
422976.46 |
Total Medicare Payment Amount |
322387.93 |
Total Medicare Standardized Payment Amount |
352416.33 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
4 |
Number Of Drug Services |
1808 |
Number Of Medicare Beneficiaries With Drug Services |
174 |
Total Drug Submitted ChargeAmount |
65876 |
Total Drug Medicare AllowedAmount |
21524.16 |
Total Drug Medicare PaymentAmount |
16781.54 |
Total Drug Medicare Standardized Payment Amount |
16781.54 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
168 |
Number Of Medical Services |
2036 |
Number Of Medicare Beneficiaries With Medical Services |
662 |
Total Medical Submitted Charge Amount |
1375369 |
Total Medical Medicare Allowed Amount |
401452.3 |
Total Medical Medicare Payment Amount |
305606.39 |
Total Medical Medicare Standardized Payment Amount |
335634.79 |
Average Age Of Beneficiaries |
72 |
Number Of Beneficiaries Age Less65 |
111 |
Number Of Beneficiaries Age 65 to 74 |
265 |
Number Of Beneficiaries Age 75 to 84 |
205 |
Number Of Beneficiaries Age Greater 84 |
82 |
Number Of Female Beneficiaries |
404 |
Number Of Male Beneficiaries |
259 |
Number Of Non Hispanic White Beneficiaries |
637 |
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 |
565 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
98 |
Percent Of With Atrial Fibrillation |
12 |
Percent Of With Alzheimers Disease or Dementia |
13 |
Percent Of With Asthma |
9 |
Percent Of With Cancer |
10 |
Percent Of With Heart Failure |
18 |
Percent Of With Chronic Kidney Disease |
19 |
Percent Of With Chronic Obstructive Pulmonary Disease |
21 |
Percent Of With Depression |
27 |
Percent Of With Diabetes |
31 |
Percent Of With Hyperlipidemia |
50 |
Percent Of With Hypertension |
67 |
Percent Of With Ischemic Heart Disease |
41 |
Percent Of With Osteoporosis |
9 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
73 |
Percent Of With Schizophrenia Other PsychoticDisorders |
5 |
Percent Of With Stroke |
3 |
Average HCC Risk Score Of Beneficiaries |
1.1153 |