National Provider Identifier [NPI]: |
1457527772 |
Last Name Of The Provider |
POSTON |
First Name Of The Provider |
JASON |
Middle Initial Of The Provider |
M |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
2375 E SUNNYSIDE RD |
Street Address 2 Of The Provider |
SUITE 'J' |
City Of The Provider |
IDAHO FALLS |
Zip Code Of The Provider |
834048280 |
State Code Of The Provider |
ID |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Anesthesiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
91 |
Number Of Services |
10457 |
Number Of Medicare Beneficiaries |
437 |
Total Submitted Charge Amount |
1028835.77 |
Total Medicare Allowed Amount |
469281 |
Total Medicare Payment Amount |
360462.03 |
Total Medicare Standardized Payment Amount |
341678.79 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
16 |
Number Of Drug Services |
5561 |
Number Of Medicare Beneficiaries With Drug Services |
257 |
Total Drug Submitted ChargeAmount |
34914.8 |
Total Drug Medicare AllowedAmount |
23172.56 |
Total Drug Medicare PaymentAmount |
18162.9 |
Total Drug Medicare Standardized Payment Amount |
18162.9 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
75 |
Number Of Medical Services |
4896 |
Number Of Medicare Beneficiaries With Medical Services |
437 |
Total Medical Submitted Charge Amount |
993920.97 |
Total Medical Medicare Allowed Amount |
446108.44 |
Total Medical Medicare Payment Amount |
342299.13 |
Total Medical Medicare Standardized Payment Amount |
323515.89 |
Average Age Of Beneficiaries |
66 |
Number Of Beneficiaries Age Less65 |
162 |
Number Of Beneficiaries Age 65 to 74 |
135 |
Number Of Beneficiaries Age 75 to 84 |
108 |
Number Of Beneficiaries Age Greater 84 |
32 |
Number Of Female Beneficiaries |
267 |
Number Of Male Beneficiaries |
170 |
Number Of Non Hispanic White Beneficiaries |
408 |
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 |
292 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
145 |
Percent Of With Atrial Fibrillation |
7 |
Percent Of With Alzheimers Disease or Dementia |
5 |
Percent Of With Asthma |
11 |
Percent Of With Cancer |
7 |
Percent Of With Heart Failure |
17 |
Percent Of With Chronic Kidney Disease |
19 |
Percent Of With Chronic Obstructive Pulmonary Disease |
16 |
Percent Of With Depression |
40 |
Percent Of With Diabetes |
39 |
Percent Of With Hyperlipidemia |
39 |
Percent Of With Hypertension |
58 |
Percent Of With Ischemic Heart Disease |
28 |
Percent Of With Osteoporosis |
10 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
75 |
Percent Of With Schizophrenia Other PsychoticDisorders |
6 |
Percent Of With Stroke |
4 |
Average HCC Risk Score Of Beneficiaries |
1.305 |