National Provider Identifier [NPI]: |
1447210901 |
Last Name Of The Provider |
BENNETT |
First Name Of The Provider |
JOSEPH |
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 |
204 8TH ST |
Street Address 2 Of The Provider |
|
City Of The Provider |
GREENWOOD |
Zip Code Of The Provider |
389304012 |
State Code Of The Provider |
MS |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Orthopedic Surgery |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
124 |
Number Of Services |
14309 |
Number Of Medicare Beneficiaries |
772 |
Total Submitted Charge Amount |
1554122 |
Total Medicare Allowed Amount |
518226.85 |
Total Medicare Payment Amount |
390624.13 |
Total Medicare Standardized Payment Amount |
417890.53 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
3 |
Number Of Drug Services |
10053 |
Number Of Medicare Beneficiaries With Drug Services |
411 |
Total Drug Submitted ChargeAmount |
202005 |
Total Drug Medicare AllowedAmount |
123153.59 |
Total Drug Medicare PaymentAmount |
95316 |
Total Drug Medicare Standardized Payment Amount |
95316 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
121 |
Number Of Medical Services |
4256 |
Number Of Medicare Beneficiaries With Medical Services |
772 |
Total Medical Submitted Charge Amount |
1352117 |
Total Medical Medicare Allowed Amount |
395073.26 |
Total Medical Medicare Payment Amount |
295308.13 |
Total Medical Medicare Standardized Payment Amount |
322574.53 |
Average Age Of Beneficiaries |
68 |
Number Of Beneficiaries Age Less65 |
245 |
Number Of Beneficiaries Age 65 to 74 |
285 |
Number Of Beneficiaries Age 75 to 84 |
166 |
Number Of Beneficiaries Age Greater 84 |
76 |
Number Of Female Beneficiaries |
536 |
Number Of Male Beneficiaries |
236 |
Number Of Non Hispanic White Beneficiaries |
|
Number Of Black or African American Beneficiaries |
395 |
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 |
409 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
363 |
Percent Of With Atrial Fibrillation |
6 |
Percent Of With Alzheimers Disease or Dementia |
8 |
Percent Of With Asthma |
7 |
Percent Of With Cancer |
8 |
Percent Of With Heart Failure |
21 |
Percent Of With Chronic Kidney Disease |
15 |
Percent Of With Chronic Obstructive Pulmonary Disease |
11 |
Percent Of With Depression |
16 |
Percent Of With Diabetes |
37 |
Percent Of With Hyperlipidemia |
39 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
28 |
Percent Of With Osteoporosis |
5 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
75 |
Percent Of With Schizophrenia Other PsychoticDisorders |
5 |
Percent Of With Stroke |
3 |
Average HCC Risk Score Of Beneficiaries |
1.134 |