National Provider Identifier [NPI]: |
1548213267 |
Last Name Of The Provider |
LEWIS |
First Name Of The Provider |
RORY |
Middle Initial Of The Provider |
H |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
2300 S CLEAR CREEK RD |
Street Address 2 Of The Provider |
STE. 203 |
City Of The Provider |
KILLEEN |
Zip Code Of The Provider |
765494984 |
State Code Of The Provider |
TX |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Orthopedic Surgery |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
80 |
Number Of Services |
1767 |
Number Of Medicare Beneficiaries |
436 |
Total Submitted Charge Amount |
656806.5 |
Total Medicare Allowed Amount |
164842.02 |
Total Medicare Payment Amount |
124930.8 |
Total Medicare Standardized Payment Amount |
133886.6 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
302 |
Number Of Medicare Beneficiaries With Drug Services |
173 |
Total Drug Submitted ChargeAmount |
12040 |
Total Drug Medicare AllowedAmount |
5611.36 |
Total Drug Medicare PaymentAmount |
4377.71 |
Total Drug Medicare Standardized Payment Amount |
4377.71 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
78 |
Number Of Medical Services |
1465 |
Number Of Medicare Beneficiaries With Medical Services |
436 |
Total Medical Submitted Charge Amount |
644766.5 |
Total Medical Medicare Allowed Amount |
159230.66 |
Total Medical Medicare Payment Amount |
120553.09 |
Total Medical Medicare Standardized Payment Amount |
129508.89 |
Average Age Of Beneficiaries |
68 |
Number Of Beneficiaries Age Less65 |
122 |
Number Of Beneficiaries Age 65 to 74 |
186 |
Number Of Beneficiaries Age 75 to 84 |
99 |
Number Of Beneficiaries Age Greater 84 |
29 |
Number Of Female Beneficiaries |
293 |
Number Of Male Beneficiaries |
143 |
Number Of Non Hispanic White Beneficiaries |
197 |
Number Of Black or African American Beneficiaries |
132 |
Number Of AsianPacific Islander Beneficiaries |
20 |
Number Of Hispanic Beneficiaries |
74 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
323 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
113 |
Percent Of With Atrial Fibrillation |
7 |
Percent Of With Alzheimers Disease or Dementia |
12 |
Percent Of With Asthma |
12 |
Percent Of With Cancer |
7 |
Percent Of With Heart Failure |
23 |
Percent Of With Chronic Kidney Disease |
22 |
Percent Of With Chronic Obstructive Pulmonary Disease |
20 |
Percent Of With Depression |
31 |
Percent Of With Diabetes |
48 |
Percent Of With Hyperlipidemia |
60 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
43 |
Percent Of With Osteoporosis |
11 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
72 |
Percent Of With Schizophrenia Other PsychoticDisorders |
5 |
Percent Of With Stroke |
3 |
Average HCC Risk Score Of Beneficiaries |
1.2615 |