National Provider Identifier [NPI]: |
1063629012 |
Last Name Of The Provider |
KEEN |
First Name Of The Provider |
CHRISTOPHER |
Middle Initial Of The Provider |
A |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
950 N AVALON WAY |
Street Address 2 Of The Provider |
|
City Of The Provider |
LECANTO |
Zip Code Of The Provider |
344616004 |
State Code Of The Provider |
FL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Orthopedic Surgery |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
191 |
Number Of Services |
7011 |
Number Of Medicare Beneficiaries |
1653 |
Total Submitted Charge Amount |
1703662 |
Total Medicare Allowed Amount |
717870.92 |
Total Medicare Payment Amount |
542258.13 |
Total Medicare Standardized Payment Amount |
549423.16 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
4 |
Number Of Drug Services |
842 |
Number Of Medicare Beneficiaries With Drug Services |
568 |
Total Drug Submitted ChargeAmount |
61258 |
Total Drug Medicare AllowedAmount |
17975.34 |
Total Drug Medicare PaymentAmount |
13855.19 |
Total Drug Medicare Standardized Payment Amount |
13855.19 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
187 |
Number Of Medical Services |
6169 |
Number Of Medicare Beneficiaries With Medical Services |
1653 |
Total Medical Submitted Charge Amount |
1642404 |
Total Medical Medicare Allowed Amount |
699895.58 |
Total Medical Medicare Payment Amount |
528402.94 |
Total Medical Medicare Standardized Payment Amount |
535567.97 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
148 |
Number Of Beneficiaries Age 65 to 74 |
737 |
Number Of Beneficiaries Age 75 to 84 |
577 |
Number Of Beneficiaries Age Greater 84 |
191 |
Number Of Female Beneficiaries |
976 |
Number Of Male Beneficiaries |
677 |
Number Of Non Hispanic White Beneficiaries |
1569 |
Number Of Black or African American Beneficiaries |
27 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
28 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
1490 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
163 |
Percent Of With Atrial Fibrillation |
12 |
Percent Of With Alzheimers Disease or Dementia |
10 |
Percent Of With Asthma |
8 |
Percent Of With Cancer |
11 |
Percent Of With Heart Failure |
16 |
Percent Of With Chronic Kidney Disease |
27 |
Percent Of With Chronic Obstructive Pulmonary Disease |
19 |
Percent Of With Depression |
25 |
Percent Of With Diabetes |
31 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
43 |
Percent Of With Osteoporosis |
14 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
69 |
Percent Of With Schizophrenia Other PsychoticDisorders |
4 |
Percent Of With Stroke |
6 |
Average HCC Risk Score Of Beneficiaries |
1.1904 |