National Provider Identifier [NPI]: |
1124099841 |
Last Name Of The Provider |
GUINN |
First Name Of The Provider |
SPENCER |
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 |
1416 E MATTHEWS AVE |
Street Address 2 Of The Provider |
SUITE 200 |
City Of The Provider |
JONESBORO |
Zip Code Of The Provider |
724014362 |
State Code Of The Provider |
AR |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Orthopedic Surgery |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
87 |
Number Of Services |
4359 |
Number Of Medicare Beneficiaries |
476 |
Total Submitted Charge Amount |
515870 |
Total Medicare Allowed Amount |
195666.02 |
Total Medicare Payment Amount |
146937.17 |
Total Medicare Standardized Payment Amount |
159249.84 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
2578 |
Number Of Medicare Beneficiaries With Drug Services |
204 |
Total Drug Submitted ChargeAmount |
55304 |
Total Drug Medicare AllowedAmount |
25521.55 |
Total Drug Medicare PaymentAmount |
19925.64 |
Total Drug Medicare Standardized Payment Amount |
19925.64 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
85 |
Number Of Medical Services |
1781 |
Number Of Medicare Beneficiaries With Medical Services |
476 |
Total Medical Submitted Charge Amount |
460566 |
Total Medical Medicare Allowed Amount |
170144.47 |
Total Medical Medicare Payment Amount |
127011.53 |
Total Medical Medicare Standardized Payment Amount |
139324.2 |
Average Age Of Beneficiaries |
69 |
Number Of Beneficiaries Age Less65 |
126 |
Number Of Beneficiaries Age 65 to 74 |
195 |
Number Of Beneficiaries Age 75 to 84 |
116 |
Number Of Beneficiaries Age Greater 84 |
39 |
Number Of Female Beneficiaries |
302 |
Number Of Male Beneficiaries |
174 |
Number Of Non Hispanic White Beneficiaries |
453 |
Number Of Black or African American Beneficiaries |
|
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 |
334 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
142 |
Percent Of With Atrial Fibrillation |
11 |
Percent Of With Alzheimers Disease or Dementia |
13 |
Percent Of With Asthma |
6 |
Percent Of With Cancer |
8 |
Percent Of With Heart Failure |
17 |
Percent Of With Chronic Kidney Disease |
17 |
Percent Of With Chronic Obstructive Pulmonary Disease |
20 |
Percent Of With Depression |
25 |
Percent Of With Diabetes |
33 |
Percent Of With Hyperlipidemia |
49 |
Percent Of With Hypertension |
66 |
Percent Of With Ischemic Heart Disease |
35 |
Percent Of With Osteoporosis |
9 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
54 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
7 |
Average HCC Risk Score Of Beneficiaries |
1.1369 |