Medicare Facts for Dr. Kenneth R. Smith, MD


National Provider Identifier [NPI]: 1508979477
Last Name Of The Provider SMITH
First Name Of The Provider KENNETH
Middle Initial Of The Provider R
Credentials Of The Provider MD
Gender Of The Provider M
Entity Type Of The Provider I
Street Address 1 Of The Provider 1155 W PARKVIEW ST
Street Address 2 Of The Provider SUITE 2D
City Of The Provider BOLIVAR
Zip Code Of The Provider 656138279
State Code Of The Provider MO
Country Code Of The Provider US
Provider Type Of The Provider Orthopedic Surgery
Medicare Participation Indicator Y
Number Of HCPCS 69
Number Of Services 6587
Number Of Medicare Beneficiaries 391
Total Submitted Charge Amount 446554
Total Medicare Allowed Amount 217489.8
Total Medicare Payment Amount 162975.64
Total Medicare Standardized Payment Amount 171213.06
Drug Suppress Indicator
Number Of HCPCS Associated With Drug Services 3
Number Of Drug Services 5224
Number Of Medicare Beneficiaries With Drug Services 105
Total Drug Submitted ChargeAmount 91652
Total Drug Medicare AllowedAmount 63711.32
Total Drug Medicare PaymentAmount 49644.18
Total Drug Medicare Standardized Payment Amount 49644.18
Medical SuppressIndicator
Number Of HCPCS Associated With MedicalServices 66
Number Of Medical Services 1363
Number Of Medicare Beneficiaries With Medical Services 391
Total Medical Submitted Charge Amount 354902
Total Medical Medicare Allowed Amount 153778.48
Total Medical Medicare Payment Amount 113331.46
Total Medical Medicare Standardized Payment Amount 121568.88
Average Age Of Beneficiaries 73
Number Of Beneficiaries Age Less65 50
Number Of Beneficiaries Age 65 to 74 183
Number Of Beneficiaries Age 75 to 84 113
Number Of Beneficiaries Age Greater 84 45
Number Of Female Beneficiaries 248
Number Of Male Beneficiaries 143
Number Of Non Hispanic White Beneficiaries
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 328
Number Of Beneficiaries With Medicare Medicaid Entitlement 63
Percent Of With Atrial Fibrillation 11
Percent Of With Alzheimers Disease or Dementia 9
Percent Of With Asthma 11
Percent Of With Cancer 8
Percent Of With Heart Failure 14
Percent Of With Chronic Kidney Disease 19
Percent Of With Chronic Obstructive Pulmonary Disease 25
Percent Of With Depression 25
Percent Of With Diabetes 26
Percent Of With Hyperlipidemia 41
Percent Of With Hypertension 66
Percent Of With Ischemic Heart Disease 32
Percent Of With Osteoporosis 10
Percent Of With Rheumatoid Arthritis Osteoarthritis 75
Percent Of With Schizophrenia Other PsychoticDisorders 5
Percent Of With Stroke
Average HCC Risk Score Of Beneficiaries 1.0816

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