National Provider Identifier [NPI]: |
1952412892 |
Last Name Of The Provider |
WALSH |
First Name Of The Provider |
DONALD |
Middle Initial Of The Provider |
S |
Credentials Of The Provider |
M.D, |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
2010 ACTIVE WAY |
Street Address 2 Of The Provider |
|
City Of The Provider |
BENTON |
Zip Code Of The Provider |
720197566 |
State Code Of The Provider |
AR |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Orthopedic Surgery |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
143 |
Number Of Services |
5591 |
Number Of Medicare Beneficiaries |
623 |
Total Submitted Charge Amount |
1033369 |
Total Medicare Allowed Amount |
358161.77 |
Total Medicare Payment Amount |
268165.74 |
Total Medicare Standardized Payment Amount |
296598.24 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
2548 |
Number Of Medicare Beneficiaries With Drug Services |
202 |
Total Drug Submitted ChargeAmount |
44760 |
Total Drug Medicare AllowedAmount |
29602.8 |
Total Drug Medicare PaymentAmount |
23139.36 |
Total Drug Medicare Standardized Payment Amount |
23139.36 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
141 |
Number Of Medical Services |
3043 |
Number Of Medicare Beneficiaries With Medical Services |
623 |
Total Medical Submitted Charge Amount |
988609 |
Total Medical Medicare Allowed Amount |
328558.97 |
Total Medical Medicare Payment Amount |
245026.38 |
Total Medical Medicare Standardized Payment Amount |
273458.88 |
Average Age Of Beneficiaries |
72 |
Number Of Beneficiaries Age Less65 |
103 |
Number Of Beneficiaries Age 65 to 74 |
264 |
Number Of Beneficiaries Age 75 to 84 |
151 |
Number Of Beneficiaries Age Greater 84 |
105 |
Number Of Female Beneficiaries |
397 |
Number Of Male Beneficiaries |
226 |
Number Of Non Hispanic White Beneficiaries |
600 |
Number Of Black or African American Beneficiaries |
12 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
504 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
119 |
Percent Of With Atrial Fibrillation |
13 |
Percent Of With Alzheimers Disease or Dementia |
15 |
Percent Of With Asthma |
5 |
Percent Of With Cancer |
8 |
Percent Of With Heart Failure |
21 |
Percent Of With Chronic Kidney Disease |
20 |
Percent Of With Chronic Obstructive Pulmonary Disease |
15 |
Percent Of With Depression |
22 |
Percent Of With Diabetes |
28 |
Percent Of With Hyperlipidemia |
46 |
Percent Of With Hypertension |
70 |
Percent Of With Ischemic Heart Disease |
41 |
Percent Of With Osteoporosis |
8 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
53 |
Percent Of With Schizophrenia Other PsychoticDisorders |
7 |
Percent Of With Stroke |
6 |
Average HCC Risk Score Of Beneficiaries |
1.2647 |