National Provider Identifier [NPI]: |
1336123512 |
Last Name Of The Provider |
LORIO |
First Name Of The Provider |
JERRY |
Middle Initial Of The Provider |
J |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
2010 ACTIVE WAY |
Street Address 2 Of The Provider |
|
City Of The Provider |
BENTON |
Zip Code Of The Provider |
720197566 |
State Code Of The Provider |
AR |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Orthopedic Surgery |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
159 |
Number Of Services |
10084 |
Number Of Medicare Beneficiaries |
880 |
Total Submitted Charge Amount |
1335167.88 |
Total Medicare Allowed Amount |
470141.38 |
Total Medicare Payment Amount |
353933.72 |
Total Medicare Standardized Payment Amount |
385283.4 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
4 |
Number Of Drug Services |
6178 |
Number Of Medicare Beneficiaries With Drug Services |
360 |
Total Drug Submitted ChargeAmount |
108240 |
Total Drug Medicare AllowedAmount |
77077.81 |
Total Drug Medicare PaymentAmount |
60271.65 |
Total Drug Medicare Standardized Payment Amount |
60271.65 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
155 |
Number Of Medical Services |
3906 |
Number Of Medicare Beneficiaries With Medical Services |
880 |
Total Medical Submitted Charge Amount |
1226927.88 |
Total Medical Medicare Allowed Amount |
393063.57 |
Total Medical Medicare Payment Amount |
293662.07 |
Total Medical Medicare Standardized Payment Amount |
325011.75 |
Average Age Of Beneficiaries |
71 |
Number Of Beneficiaries Age Less65 |
166 |
Number Of Beneficiaries Age 65 to 74 |
344 |
Number Of Beneficiaries Age 75 to 84 |
262 |
Number Of Beneficiaries Age Greater 84 |
108 |
Number Of Female Beneficiaries |
584 |
Number Of Male Beneficiaries |
296 |
Number Of Non Hispanic White Beneficiaries |
829 |
Number Of Black or African American Beneficiaries |
32 |
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 |
720 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
160 |
Percent Of With Atrial Fibrillation |
11 |
Percent Of With Alzheimers Disease or Dementia |
11 |
Percent Of With Asthma |
5 |
Percent Of With Cancer |
6 |
Percent Of With Heart Failure |
15 |
Percent Of With Chronic Kidney Disease |
16 |
Percent Of With Chronic Obstructive Pulmonary Disease |
15 |
Percent Of With Depression |
21 |
Percent Of With Diabetes |
29 |
Percent Of With Hyperlipidemia |
50 |
Percent Of With Hypertension |
70 |
Percent Of With Ischemic Heart Disease |
43 |
Percent Of With Osteoporosis |
8 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
65 |
Percent Of With Schizophrenia Other PsychoticDisorders |
5 |
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
1.1167 |