National Provider Identifier [NPI]: |
1376587824 |
Last Name Of The Provider |
CHINGREN |
First Name Of The Provider |
GARY |
Middle Initial Of The Provider |
L |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
2207 OSBORNE DR W |
Street Address 2 Of The Provider |
SUITE 100 |
City Of The Provider |
HASTINGS |
Zip Code Of The Provider |
689019112 |
State Code Of The Provider |
NE |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Orthopedic Surgery |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
155 |
Number Of Services |
3066 |
Number Of Medicare Beneficiaries |
501 |
Total Submitted Charge Amount |
836224.1 |
Total Medicare Allowed Amount |
285552.12 |
Total Medicare Payment Amount |
217576.07 |
Total Medicare Standardized Payment Amount |
241254.42 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
596 |
Number Of Medicare Beneficiaries With Drug Services |
74 |
Total Drug Submitted ChargeAmount |
5152 |
Total Drug Medicare AllowedAmount |
3901.71 |
Total Drug Medicare PaymentAmount |
3054.95 |
Total Drug Medicare Standardized Payment Amount |
3054.95 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
153 |
Number Of Medical Services |
2470 |
Number Of Medicare Beneficiaries With Medical Services |
501 |
Total Medical Submitted Charge Amount |
831072.1 |
Total Medical Medicare Allowed Amount |
281650.41 |
Total Medical Medicare Payment Amount |
214521.12 |
Total Medical Medicare Standardized Payment Amount |
238199.47 |
Average Age Of Beneficiaries |
76 |
Number Of Beneficiaries Age Less65 |
65 |
Number Of Beneficiaries Age 65 to 74 |
151 |
Number Of Beneficiaries Age 75 to 84 |
161 |
Number Of Beneficiaries Age Greater 84 |
124 |
Number Of Female Beneficiaries |
318 |
Number Of Male Beneficiaries |
183 |
Number Of Non Hispanic White Beneficiaries |
485 |
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 |
397 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
104 |
Percent Of With Atrial Fibrillation |
17 |
Percent Of With Alzheimers Disease or Dementia |
14 |
Percent Of With Asthma |
6 |
Percent Of With Cancer |
11 |
Percent Of With Heart Failure |
25 |
Percent Of With Chronic Kidney Disease |
23 |
Percent Of With Chronic Obstructive Pulmonary Disease |
21 |
Percent Of With Depression |
26 |
Percent Of With Diabetes |
33 |
Percent Of With Hyperlipidemia |
49 |
Percent Of With Hypertension |
70 |
Percent Of With Ischemic Heart Disease |
39 |
Percent Of With Osteoporosis |
13 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
57 |
Percent Of With Schizophrenia Other PsychoticDisorders |
5 |
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
1.2609 |