National Provider Identifier [NPI]: |
1144424821 |
Last Name Of The Provider |
JOICE |
First Name Of The Provider |
JASON |
Middle Initial Of The Provider |
C |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1301 NE 1ST ST |
Street Address 2 Of The Provider |
|
City Of The Provider |
PRYOR |
Zip Code Of The Provider |
743618850 |
State Code Of The Provider |
OK |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Orthopedic Surgery |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
110 |
Number Of Services |
4567 |
Number Of Medicare Beneficiaries |
451 |
Total Submitted Charge Amount |
503965.8 |
Total Medicare Allowed Amount |
214535.7 |
Total Medicare Payment Amount |
158431.52 |
Total Medicare Standardized Payment Amount |
174285.86 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
4 |
Number Of Drug Services |
2839 |
Number Of Medicare Beneficiaries With Drug Services |
238 |
Total Drug Submitted ChargeAmount |
59267.74 |
Total Drug Medicare AllowedAmount |
36393.41 |
Total Drug Medicare PaymentAmount |
27897.63 |
Total Drug Medicare Standardized Payment Amount |
27897.63 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
106 |
Number Of Medical Services |
1728 |
Number Of Medicare Beneficiaries With Medical Services |
451 |
Total Medical Submitted Charge Amount |
444698.06 |
Total Medical Medicare Allowed Amount |
178142.29 |
Total Medical Medicare Payment Amount |
130533.89 |
Total Medical Medicare Standardized Payment Amount |
146388.23 |
Average Age Of Beneficiaries |
71 |
Number Of Beneficiaries Age Less65 |
88 |
Number Of Beneficiaries Age 65 to 74 |
174 |
Number Of Beneficiaries Age 75 to 84 |
132 |
Number Of Beneficiaries Age Greater 84 |
57 |
Number Of Female Beneficiaries |
286 |
Number Of Male Beneficiaries |
165 |
Number Of Non Hispanic White Beneficiaries |
379 |
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 |
334 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
117 |
Percent Of With Atrial Fibrillation |
9 |
Percent Of With Alzheimers Disease or Dementia |
9 |
Percent Of With Asthma |
7 |
Percent Of With Cancer |
6 |
Percent Of With Heart Failure |
20 |
Percent Of With Chronic Kidney Disease |
22 |
Percent Of With Chronic Obstructive Pulmonary Disease |
17 |
Percent Of With Depression |
29 |
Percent Of With Diabetes |
28 |
Percent Of With Hyperlipidemia |
42 |
Percent Of With Hypertension |
67 |
Percent Of With Ischemic Heart Disease |
37 |
Percent Of With Osteoporosis |
9 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
58 |
Percent Of With Schizophrenia Other PsychoticDisorders |
4 |
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
1.1414 |