National Provider Identifier [NPI]: |
1003908674 |
Last Name Of The Provider |
SIMPSON |
First Name Of The Provider |
LEX |
Middle Initial Of The Provider |
A |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
555 N ARLINGTON AVE |
Street Address 2 Of The Provider |
|
City Of The Provider |
RENO |
Zip Code Of The Provider |
895034723 |
State Code Of The Provider |
NV |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Orthopedic Surgery |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
60 |
Number Of Services |
1089 |
Number Of Medicare Beneficiaries |
271 |
Total Submitted Charge Amount |
230681 |
Total Medicare Allowed Amount |
75422.56 |
Total Medicare Payment Amount |
54209.95 |
Total Medicare Standardized Payment Amount |
53567.24 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
4 |
Number Of Drug Services |
197 |
Number Of Medicare Beneficiaries With Drug Services |
27 |
Total Drug Submitted ChargeAmount |
16261 |
Total Drug Medicare AllowedAmount |
9890.38 |
Total Drug Medicare PaymentAmount |
7404.62 |
Total Drug Medicare Standardized Payment Amount |
7404.62 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
56 |
Number Of Medical Services |
892 |
Number Of Medicare Beneficiaries With Medical Services |
271 |
Total Medical Submitted Charge Amount |
214420 |
Total Medical Medicare Allowed Amount |
65532.18 |
Total Medical Medicare Payment Amount |
46805.33 |
Total Medical Medicare Standardized Payment Amount |
46162.62 |
Average Age Of Beneficiaries |
71 |
Number Of Beneficiaries Age Less65 |
42 |
Number Of Beneficiaries Age 65 to 74 |
144 |
Number Of Beneficiaries Age 75 to 84 |
58 |
Number Of Beneficiaries Age Greater 84 |
27 |
Number Of Female Beneficiaries |
176 |
Number Of Male Beneficiaries |
95 |
Number Of Non Hispanic White Beneficiaries |
240 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
15 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
244 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
27 |
Percent Of With Atrial Fibrillation |
9 |
Percent Of With Alzheimers Disease or Dementia |
7 |
Percent Of With Asthma |
7 |
Percent Of With Cancer |
9 |
Percent Of With Heart Failure |
11 |
Percent Of With Chronic Kidney Disease |
22 |
Percent Of With Chronic Obstructive Pulmonary Disease |
13 |
Percent Of With Depression |
21 |
Percent Of With Diabetes |
18 |
Percent Of With Hyperlipidemia |
50 |
Percent Of With Hypertension |
54 |
Percent Of With Ischemic Heart Disease |
25 |
Percent Of With Osteoporosis |
7 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
51 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
|
Average HCC Risk Score Of Beneficiaries |
1.0512 |