National Provider Identifier [NPI]: |
1619937943 |
Last Name Of The Provider |
CLEMENT |
First Name Of The Provider |
NEAL |
Middle Initial Of The Provider |
G |
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 |
STE 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 |
91 |
Number Of Services |
5526 |
Number Of Medicare Beneficiaries |
714 |
Total Submitted Charge Amount |
565128.2 |
Total Medicare Allowed Amount |
263553.3 |
Total Medicare Payment Amount |
190636.03 |
Total Medicare Standardized Payment Amount |
208093 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
5 |
Number Of Drug Services |
2408 |
Number Of Medicare Beneficiaries With Drug Services |
369 |
Total Drug Submitted ChargeAmount |
118562 |
Total Drug Medicare AllowedAmount |
66559.17 |
Total Drug Medicare PaymentAmount |
51484.67 |
Total Drug Medicare Standardized Payment Amount |
51484.67 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
86 |
Number Of Medical Services |
3118 |
Number Of Medicare Beneficiaries With Medical Services |
714 |
Total Medical Submitted Charge Amount |
446566.2 |
Total Medical Medicare Allowed Amount |
196994.13 |
Total Medical Medicare Payment Amount |
139151.36 |
Total Medical Medicare Standardized Payment Amount |
156608.33 |
Average Age Of Beneficiaries |
71 |
Number Of Beneficiaries Age Less65 |
117 |
Number Of Beneficiaries Age 65 to 74 |
321 |
Number Of Beneficiaries Age 75 to 84 |
213 |
Number Of Beneficiaries Age Greater 84 |
63 |
Number Of Female Beneficiaries |
442 |
Number Of Male Beneficiaries |
272 |
Number Of Non Hispanic White Beneficiaries |
637 |
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 |
598 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
116 |
Percent Of With Atrial Fibrillation |
11 |
Percent Of With Alzheimers Disease or Dementia |
6 |
Percent Of With Asthma |
8 |
Percent Of With Cancer |
8 |
Percent Of With Heart Failure |
12 |
Percent Of With Chronic Kidney Disease |
14 |
Percent Of With Chronic Obstructive Pulmonary Disease |
13 |
Percent Of With Depression |
17 |
Percent Of With Diabetes |
35 |
Percent Of With Hyperlipidemia |
62 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
35 |
Percent Of With Osteoporosis |
5 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
68 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
3 |
Average HCC Risk Score Of Beneficiaries |
0.9835 |