National Provider Identifier [NPI]: |
1083615124 |
Last Name Of The Provider |
LETT |
First Name Of The Provider |
PATRICK |
Middle Initial Of The Provider |
W |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
404 N MAIN ST |
Street Address 2 Of The Provider |
|
City Of The Provider |
ENTERPRISE |
Zip Code Of The Provider |
363302563 |
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 |
134 |
Number Of Services |
5454 |
Number Of Medicare Beneficiaries |
846 |
Total Submitted Charge Amount |
1201530.56 |
Total Medicare Allowed Amount |
458187.69 |
Total Medicare Payment Amount |
339273.6 |
Total Medicare Standardized Payment Amount |
371004.86 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
5 |
Number Of Drug Services |
1227 |
Number Of Medicare Beneficiaries With Drug Services |
437 |
Total Drug Submitted ChargeAmount |
171058 |
Total Drug Medicare AllowedAmount |
100359.55 |
Total Drug Medicare PaymentAmount |
76925.85 |
Total Drug Medicare Standardized Payment Amount |
76925.85 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
129 |
Number Of Medical Services |
4227 |
Number Of Medicare Beneficiaries With Medical Services |
846 |
Total Medical Submitted Charge Amount |
1030472.56 |
Total Medical Medicare Allowed Amount |
357828.14 |
Total Medical Medicare Payment Amount |
262347.75 |
Total Medical Medicare Standardized Payment Amount |
294079.01 |
Average Age Of Beneficiaries |
72 |
Number Of Beneficiaries Age Less65 |
131 |
Number Of Beneficiaries Age 65 to 74 |
362 |
Number Of Beneficiaries Age 75 to 84 |
258 |
Number Of Beneficiaries Age Greater 84 |
95 |
Number Of Female Beneficiaries |
547 |
Number Of Male Beneficiaries |
299 |
Number Of Non Hispanic White Beneficiaries |
735 |
Number Of Black or African American Beneficiaries |
84 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
14 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
695 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
151 |
Percent Of With Atrial Fibrillation |
11 |
Percent Of With Alzheimers Disease or Dementia |
11 |
Percent Of With Asthma |
8 |
Percent Of With Cancer |
8 |
Percent Of With Heart Failure |
13 |
Percent Of With Chronic Kidney Disease |
14 |
Percent Of With Chronic Obstructive Pulmonary Disease |
15 |
Percent Of With Depression |
19 |
Percent Of With Diabetes |
32 |
Percent Of With Hyperlipidemia |
58 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
29 |
Percent Of With Osteoporosis |
10 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
73 |
Percent Of With Schizophrenia Other PsychoticDisorders |
2 |
Percent Of With Stroke |
4 |
Average HCC Risk Score Of Beneficiaries |
0.9706 |