National Provider Identifier [NPI]: |
1548293160 |
Last Name Of The Provider |
WHITSETT |
First Name Of The Provider |
GREGORY |
Middle Initial Of The Provider |
M |
Credentials Of The Provider |
M.D, |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1019 BAYOU ST |
Street Address 2 Of The Provider |
|
City Of The Provider |
VINCENNES |
Zip Code Of The Provider |
475912731 |
State Code Of The Provider |
IN |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Orthopedic Surgery |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
109 |
Number Of Services |
5796 |
Number Of Medicare Beneficiaries |
653 |
Total Submitted Charge Amount |
1116862 |
Total Medicare Allowed Amount |
360767.59 |
Total Medicare Payment Amount |
273152.73 |
Total Medicare Standardized Payment Amount |
291985.06 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
4 |
Number Of Drug Services |
3429 |
Number Of Medicare Beneficiaries With Drug Services |
258 |
Total Drug Submitted ChargeAmount |
44669 |
Total Drug Medicare AllowedAmount |
20408.81 |
Total Drug Medicare PaymentAmount |
15868.92 |
Total Drug Medicare Standardized Payment Amount |
15868.92 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
105 |
Number Of Medical Services |
2367 |
Number Of Medicare Beneficiaries With Medical Services |
653 |
Total Medical Submitted Charge Amount |
1072193 |
Total Medical Medicare Allowed Amount |
340358.78 |
Total Medical Medicare Payment Amount |
257283.81 |
Total Medical Medicare Standardized Payment Amount |
276116.14 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
75 |
Number Of Beneficiaries Age 65 to 74 |
266 |
Number Of Beneficiaries Age 75 to 84 |
204 |
Number Of Beneficiaries Age Greater 84 |
108 |
Number Of Female Beneficiaries |
416 |
Number Of Male Beneficiaries |
237 |
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 |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
525 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
128 |
Percent Of With Atrial Fibrillation |
12 |
Percent Of With Alzheimers Disease or Dementia |
10 |
Percent Of With Asthma |
7 |
Percent Of With Cancer |
10 |
Percent Of With Heart Failure |
15 |
Percent Of With Chronic Kidney Disease |
22 |
Percent Of With Chronic Obstructive Pulmonary Disease |
22 |
Percent Of With Depression |
25 |
Percent Of With Diabetes |
31 |
Percent Of With Hyperlipidemia |
58 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
34 |
Percent Of With Osteoporosis |
10 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
72 |
Percent Of With Schizophrenia Other PsychoticDisorders |
6 |
Percent Of With Stroke |
8 |
Average HCC Risk Score Of Beneficiaries |
1.2375 |