National Provider Identifier [NPI]: |
1407065063 |
Last Name Of The Provider |
MANN |
First Name Of The Provider |
JOHN |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
2129 HELTON DR |
Street Address 2 Of The Provider |
SUITE A |
City Of The Provider |
FLORENCE |
Zip Code Of The Provider |
356301069 |
State Code Of The Provider |
AL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Orthopedic Surgery |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
162 |
Number Of Services |
10726 |
Number Of Medicare Beneficiaries |
948 |
Total Submitted Charge Amount |
1174383.2 |
Total Medicare Allowed Amount |
453470.44 |
Total Medicare Payment Amount |
340568.49 |
Total Medicare Standardized Payment Amount |
370329.14 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
5 |
Number Of Drug Services |
1059 |
Number Of Medicare Beneficiaries With Drug Services |
199 |
Total Drug Submitted ChargeAmount |
78068 |
Total Drug Medicare AllowedAmount |
42337.96 |
Total Drug Medicare PaymentAmount |
33081.47 |
Total Drug Medicare Standardized Payment Amount |
33081.47 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
157 |
Number Of Medical Services |
9667 |
Number Of Medicare Beneficiaries With Medical Services |
948 |
Total Medical Submitted Charge Amount |
1096315.2 |
Total Medical Medicare Allowed Amount |
411132.48 |
Total Medical Medicare Payment Amount |
307487.02 |
Total Medical Medicare Standardized Payment Amount |
337247.67 |
Average Age Of Beneficiaries |
71 |
Number Of Beneficiaries Age Less65 |
180 |
Number Of Beneficiaries Age 65 to 74 |
363 |
Number Of Beneficiaries Age 75 to 84 |
305 |
Number Of Beneficiaries Age Greater 84 |
100 |
Number Of Female Beneficiaries |
656 |
Number Of Male Beneficiaries |
292 |
Number Of Non Hispanic White Beneficiaries |
854 |
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 |
732 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
216 |
Percent Of With Atrial Fibrillation |
10 |
Percent Of With Alzheimers Disease or Dementia |
12 |
Percent Of With Asthma |
7 |
Percent Of With Cancer |
9 |
Percent Of With Heart Failure |
16 |
Percent Of With Chronic Kidney Disease |
18 |
Percent Of With Chronic Obstructive Pulmonary Disease |
19 |
Percent Of With Depression |
23 |
Percent Of With Diabetes |
32 |
Percent Of With Hyperlipidemia |
63 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
39 |
Percent Of With Osteoporosis |
9 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
69 |
Percent Of With Schizophrenia Other PsychoticDisorders |
4 |
Percent Of With Stroke |
4 |
Average HCC Risk Score Of Beneficiaries |
1.1817 |