National Provider Identifier [NPI]: |
1730153198 |
Last Name Of The Provider |
HUMMEL |
First Name Of The Provider |
GREGORY |
Middle Initial Of The Provider |
L |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
19550 E 39TH STREET |
Street Address 2 Of The Provider |
SUITE 205 |
City Of The Provider |
INDEPENDENCE |
Zip Code Of The Provider |
64057 |
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 |
119 |
Number Of Services |
3540 |
Number Of Medicare Beneficiaries |
665 |
Total Submitted Charge Amount |
1493892.4 |
Total Medicare Allowed Amount |
438290.38 |
Total Medicare Payment Amount |
331482.21 |
Total Medicare Standardized Payment Amount |
332103.68 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
3 |
Number Of Drug Services |
468 |
Number Of Medicare Beneficiaries With Drug Services |
184 |
Total Drug Submitted ChargeAmount |
18128 |
Total Drug Medicare AllowedAmount |
5375.91 |
Total Drug Medicare PaymentAmount |
3995.46 |
Total Drug Medicare Standardized Payment Amount |
3995.46 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
116 |
Number Of Medical Services |
3072 |
Number Of Medicare Beneficiaries With Medical Services |
665 |
Total Medical Submitted Charge Amount |
1475764.4 |
Total Medical Medicare Allowed Amount |
432914.47 |
Total Medical Medicare Payment Amount |
327486.75 |
Total Medical Medicare Standardized Payment Amount |
328108.22 |
Average Age Of Beneficiaries |
76 |
Number Of Beneficiaries Age Less65 |
46 |
Number Of Beneficiaries Age 65 to 74 |
255 |
Number Of Beneficiaries Age 75 to 84 |
237 |
Number Of Beneficiaries Age Greater 84 |
127 |
Number Of Female Beneficiaries |
382 |
Number Of Male Beneficiaries |
283 |
Number Of Non Hispanic White Beneficiaries |
644 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
0 |
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 |
638 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
27 |
Percent Of With Atrial Fibrillation |
15 |
Percent Of With Alzheimers Disease or Dementia |
10 |
Percent Of With Asthma |
6 |
Percent Of With Cancer |
13 |
Percent Of With Heart Failure |
14 |
Percent Of With Chronic Kidney Disease |
25 |
Percent Of With Chronic Obstructive Pulmonary Disease |
12 |
Percent Of With Depression |
21 |
Percent Of With Diabetes |
30 |
Percent Of With Hyperlipidemia |
64 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
40 |
Percent Of With Osteoporosis |
11 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
68 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
1.0627 |