National Provider Identifier [NPI]: |
1578587176 |
Last Name Of The Provider |
RAINEY |
First Name Of The Provider |
RHETT |
Middle Initial Of The Provider |
K |
Credentials Of The Provider |
DO |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
314 NORTH BROAD STREET |
Street Address 2 Of The Provider |
SUITE 340 |
City Of The Provider |
WINDER |
Zip Code Of The Provider |
30680 |
State Code Of The Provider |
GA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Orthopedic Surgery |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
117 |
Number Of Services |
1603 |
Number Of Medicare Beneficiaries |
353 |
Total Submitted Charge Amount |
839261 |
Total Medicare Allowed Amount |
149505.16 |
Total Medicare Payment Amount |
110462.52 |
Total Medicare Standardized Payment Amount |
117734.92 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
232 |
Number Of Medicare Beneficiaries With Drug Services |
115 |
Total Drug Submitted ChargeAmount |
14690 |
Total Drug Medicare AllowedAmount |
2000.36 |
Total Drug Medicare PaymentAmount |
1554.44 |
Total Drug Medicare Standardized Payment Amount |
1554.44 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
115 |
Number Of Medical Services |
1371 |
Number Of Medicare Beneficiaries With Medical Services |
353 |
Total Medical Submitted Charge Amount |
824571 |
Total Medical Medicare Allowed Amount |
147504.8 |
Total Medical Medicare Payment Amount |
108908.08 |
Total Medical Medicare Standardized Payment Amount |
116180.48 |
Average Age Of Beneficiaries |
66 |
Number Of Beneficiaries Age Less65 |
132 |
Number Of Beneficiaries Age 65 to 74 |
127 |
Number Of Beneficiaries Age 75 to 84 |
63 |
Number Of Beneficiaries Age Greater 84 |
31 |
Number Of Female Beneficiaries |
225 |
Number Of Male Beneficiaries |
128 |
Number Of Non Hispanic White Beneficiaries |
284 |
Number Of Black or African American Beneficiaries |
54 |
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 |
193 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
160 |
Percent Of With Atrial Fibrillation |
9 |
Percent Of With Alzheimers Disease or Dementia |
11 |
Percent Of With Asthma |
9 |
Percent Of With Cancer |
6 |
Percent Of With Heart Failure |
22 |
Percent Of With Chronic Kidney Disease |
27 |
Percent Of With Chronic Obstructive Pulmonary Disease |
21 |
Percent Of With Depression |
31 |
Percent Of With Diabetes |
35 |
Percent Of With Hyperlipidemia |
58 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
33 |
Percent Of With Osteoporosis |
5 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
54 |
Percent Of With Schizophrenia Other PsychoticDisorders |
5 |
Percent Of With Stroke |
7 |
Average HCC Risk Score Of Beneficiaries |
1.3455 |