National Provider Identifier [NPI]: |
1073668075 |
Last Name Of The Provider |
BONE |
First Name Of The Provider |
CRAIG |
Middle Initial Of The Provider |
M |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
220 E ROWAN AVE |
Street Address 2 Of The Provider |
SUITE 100 |
City Of The Provider |
SPOKANE |
Zip Code Of The Provider |
992071202 |
State Code Of The Provider |
WA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Orthopedic Surgery |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
92 |
Number Of Services |
5058 |
Number Of Medicare Beneficiaries |
567 |
Total Submitted Charge Amount |
1251808 |
Total Medicare Allowed Amount |
411232.01 |
Total Medicare Payment Amount |
311401.23 |
Total Medicare Standardized Payment Amount |
322542 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
4 |
Number Of Drug Services |
2656 |
Number Of Medicare Beneficiaries With Drug Services |
216 |
Total Drug Submitted ChargeAmount |
157969 |
Total Drug Medicare AllowedAmount |
68380.52 |
Total Drug Medicare PaymentAmount |
53078.1 |
Total Drug Medicare Standardized Payment Amount |
53078.1 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
88 |
Number Of Medical Services |
2402 |
Number Of Medicare Beneficiaries With Medical Services |
567 |
Total Medical Submitted Charge Amount |
1093839 |
Total Medical Medicare Allowed Amount |
342851.49 |
Total Medical Medicare Payment Amount |
258323.13 |
Total Medical Medicare Standardized Payment Amount |
269463.9 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
68 |
Number Of Beneficiaries Age 65 to 74 |
221 |
Number Of Beneficiaries Age 75 to 84 |
196 |
Number Of Beneficiaries Age Greater 84 |
82 |
Number Of Female Beneficiaries |
368 |
Number Of Male Beneficiaries |
199 |
Number Of Non Hispanic White Beneficiaries |
534 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
11 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
485 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
82 |
Percent Of With Atrial Fibrillation |
11 |
Percent Of With Alzheimers Disease or Dementia |
9 |
Percent Of With Asthma |
10 |
Percent Of With Cancer |
8 |
Percent Of With Heart Failure |
14 |
Percent Of With Chronic Kidney Disease |
19 |
Percent Of With Chronic Obstructive Pulmonary Disease |
16 |
Percent Of With Depression |
22 |
Percent Of With Diabetes |
27 |
Percent Of With Hyperlipidemia |
46 |
Percent Of With Hypertension |
63 |
Percent Of With Ischemic Heart Disease |
26 |
Percent Of With Osteoporosis |
8 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
75 |
Percent Of With Schizophrenia Other PsychoticDisorders |
4 |
Percent Of With Stroke |
4 |
Average HCC Risk Score Of Beneficiaries |
1.1073 |