National Provider Identifier [NPI]: |
1144394644 |
Last Name Of The Provider |
MORIN |
First Name Of The Provider |
NORMAN |
Middle Initial Of The Provider |
P |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1995 WEST RIDGE ROAD |
Street Address 2 Of The Provider |
|
City Of The Provider |
WYTHEVILLE |
Zip Code Of The Provider |
24382 |
State Code Of The Provider |
VA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Orthopedic Surgery |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
104 |
Number Of Services |
4400.5 |
Number Of Medicare Beneficiaries |
864 |
Total Submitted Charge Amount |
1661254 |
Total Medicare Allowed Amount |
435382.66 |
Total Medicare Payment Amount |
326089.49 |
Total Medicare Standardized Payment Amount |
341002.37 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
5 |
Number Of Drug Services |
1413.5 |
Number Of Medicare Beneficiaries With Drug Services |
226 |
Total Drug Submitted ChargeAmount |
34934 |
Total Drug Medicare AllowedAmount |
27107.19 |
Total Drug Medicare PaymentAmount |
19796.41 |
Total Drug Medicare Standardized Payment Amount |
19796.41 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
99 |
Number Of Medical Services |
2987 |
Number Of Medicare Beneficiaries With Medical Services |
863 |
Total Medical Submitted Charge Amount |
1626320 |
Total Medical Medicare Allowed Amount |
408275.47 |
Total Medical Medicare Payment Amount |
306293.08 |
Total Medical Medicare Standardized Payment Amount |
321205.96 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
93 |
Number Of Beneficiaries Age 65 to 74 |
414 |
Number Of Beneficiaries Age 75 to 84 |
264 |
Number Of Beneficiaries Age Greater 84 |
93 |
Number Of Female Beneficiaries |
614 |
Number Of Male Beneficiaries |
250 |
Number Of Non Hispanic White Beneficiaries |
837 |
Number Of Black or African American Beneficiaries |
14 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
728 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
136 |
Percent Of With Atrial Fibrillation |
9 |
Percent Of With Alzheimers Disease or Dementia |
6 |
Percent Of With Asthma |
8 |
Percent Of With Cancer |
8 |
Percent Of With Heart Failure |
14 |
Percent Of With Chronic Kidney Disease |
17 |
Percent Of With Chronic Obstructive Pulmonary Disease |
13 |
Percent Of With Depression |
23 |
Percent Of With Diabetes |
31 |
Percent Of With Hyperlipidemia |
59 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
29 |
Percent Of With Osteoporosis |
18 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
73 |
Percent Of With Schizophrenia Other PsychoticDisorders |
2 |
Percent Of With Stroke |
3 |
Average HCC Risk Score Of Beneficiaries |
0.965 |