National Provider Identifier [NPI]: |
1841260478 |
Last Name Of The Provider |
CHATWELL |
First Name Of The Provider |
RICK |
Middle Initial Of The Provider |
C |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
3901 PINE LAKE RD |
Street Address 2 Of The Provider |
SUITE 120 |
City Of The Provider |
LINCOLN |
Zip Code Of The Provider |
685165497 |
State Code Of The Provider |
NE |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Rheumatology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
100 |
Number Of Services |
83286 |
Number Of Medicare Beneficiaries |
934 |
Total Submitted Charge Amount |
3711435 |
Total Medicare Allowed Amount |
1848952.34 |
Total Medicare Payment Amount |
1384677.15 |
Total Medicare Standardized Payment Amount |
1400632.53 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
16 |
Number Of Drug Services |
65011 |
Number Of Medicare Beneficiaries With Drug Services |
435 |
Total Drug Submitted ChargeAmount |
2643045 |
Total Drug Medicare AllowedAmount |
1500255.63 |
Total Drug Medicare PaymentAmount |
1116595.28 |
Total Drug Medicare Standardized Payment Amount |
1116595.28 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
84 |
Number Of Medical Services |
18275 |
Number Of Medicare Beneficiaries With Medical Services |
934 |
Total Medical Submitted Charge Amount |
1068390 |
Total Medical Medicare Allowed Amount |
348696.71 |
Total Medical Medicare Payment Amount |
268081.87 |
Total Medical Medicare Standardized Payment Amount |
284037.25 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
63 |
Number Of Beneficiaries Age 65 to 74 |
414 |
Number Of Beneficiaries Age 75 to 84 |
337 |
Number Of Beneficiaries Age Greater 84 |
120 |
Number Of Female Beneficiaries |
702 |
Number Of Male Beneficiaries |
232 |
Number Of Non Hispanic White Beneficiaries |
908 |
Number Of Black or African American Beneficiaries |
|
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 |
878 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
56 |
Percent Of With Atrial Fibrillation |
9 |
Percent Of With Alzheimers Disease or Dementia |
7 |
Percent Of With Asthma |
5 |
Percent Of With Cancer |
9 |
Percent Of With Heart Failure |
12 |
Percent Of With Chronic Kidney Disease |
16 |
Percent Of With Chronic Obstructive Pulmonary Disease |
9 |
Percent Of With Depression |
16 |
Percent Of With Diabetes |
20 |
Percent Of With Hyperlipidemia |
43 |
Percent Of With Hypertension |
56 |
Percent Of With Ischemic Heart Disease |
23 |
Percent Of With Osteoporosis |
26 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
75 |
Percent Of With Schizophrenia Other PsychoticDisorders |
2 |
Percent Of With Stroke |
2 |
Average HCC Risk Score Of Beneficiaries |
1.0694 |