National Provider Identifier [NPI]: |
1366432569 |
Last Name Of The Provider |
KNAPKE |
First Name Of The Provider |
DONALD |
Middle Initial Of The Provider |
M |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1350 KIRTS BLVD |
Street Address 2 Of The Provider |
STE 160 |
City Of The Provider |
TROY |
Zip Code Of The Provider |
480844851 |
State Code Of The Provider |
MI |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Orthopedic Surgery |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
81 |
Number Of Services |
5444 |
Number Of Medicare Beneficiaries |
1006 |
Total Submitted Charge Amount |
2132685 |
Total Medicare Allowed Amount |
858382.43 |
Total Medicare Payment Amount |
652984.04 |
Total Medicare Standardized Payment Amount |
623158.4 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
4 |
Number Of Drug Services |
1363 |
Number Of Medicare Beneficiaries With Drug Services |
259 |
Total Drug Submitted ChargeAmount |
96866 |
Total Drug Medicare AllowedAmount |
50091.84 |
Total Drug Medicare PaymentAmount |
39016.32 |
Total Drug Medicare Standardized Payment Amount |
39016.32 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
77 |
Number Of Medical Services |
4081 |
Number Of Medicare Beneficiaries With Medical Services |
1006 |
Total Medical Submitted Charge Amount |
2035819 |
Total Medical Medicare Allowed Amount |
808290.59 |
Total Medical Medicare Payment Amount |
613967.72 |
Total Medical Medicare Standardized Payment Amount |
584142.08 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
108 |
Number Of Beneficiaries Age 65 to 74 |
493 |
Number Of Beneficiaries Age 75 to 84 |
308 |
Number Of Beneficiaries Age Greater 84 |
97 |
Number Of Female Beneficiaries |
664 |
Number Of Male Beneficiaries |
342 |
Number Of Non Hispanic White Beneficiaries |
930 |
Number Of Black or African American Beneficiaries |
38 |
Number Of AsianPacific Islander Beneficiaries |
16 |
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 |
889 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
117 |
Percent Of With Atrial Fibrillation |
14 |
Percent Of With Alzheimers Disease or Dementia |
10 |
Percent Of With Asthma |
12 |
Percent Of With Cancer |
10 |
Percent Of With Heart Failure |
18 |
Percent Of With Chronic Kidney Disease |
22 |
Percent Of With Chronic Obstructive Pulmonary Disease |
15 |
Percent Of With Depression |
24 |
Percent Of With Diabetes |
35 |
Percent Of With Hyperlipidemia |
67 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
44 |
Percent Of With Osteoporosis |
11 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
75 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
1.3131 |