National Provider Identifier [NPI]: |
1720206105 |
Last Name Of The Provider |
WALKER |
First Name Of The Provider |
DAMION |
Middle Initial Of The Provider |
Y |
Credentials Of The Provider |
DO |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
9300 E 29TH ST N |
Street Address 2 Of The Provider |
SUITE 205 |
City Of The Provider |
WICHITA |
Zip Code Of The Provider |
672262182 |
State Code Of The Provider |
KS |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Orthopedic Surgery |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
98 |
Number Of Services |
3747 |
Number Of Medicare Beneficiaries |
511 |
Total Submitted Charge Amount |
784668 |
Total Medicare Allowed Amount |
309668.74 |
Total Medicare Payment Amount |
234933.18 |
Total Medicare Standardized Payment Amount |
250108.44 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
3 |
Number Of Drug Services |
2007 |
Number Of Medicare Beneficiaries With Drug Services |
111 |
Total Drug Submitted ChargeAmount |
39680 |
Total Drug Medicare AllowedAmount |
24780.25 |
Total Drug Medicare PaymentAmount |
18843.22 |
Total Drug Medicare Standardized Payment Amount |
18843.22 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
95 |
Number Of Medical Services |
1740 |
Number Of Medicare Beneficiaries With Medical Services |
511 |
Total Medical Submitted Charge Amount |
744988 |
Total Medical Medicare Allowed Amount |
284888.49 |
Total Medical Medicare Payment Amount |
216089.96 |
Total Medical Medicare Standardized Payment Amount |
231265.22 |
Average Age Of Beneficiaries |
72 |
Number Of Beneficiaries Age Less65 |
95 |
Number Of Beneficiaries Age 65 to 74 |
207 |
Number Of Beneficiaries Age 75 to 84 |
134 |
Number Of Beneficiaries Age Greater 84 |
75 |
Number Of Female Beneficiaries |
330 |
Number Of Male Beneficiaries |
181 |
Number Of Non Hispanic White Beneficiaries |
469 |
Number Of Black or African American Beneficiaries |
15 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
15 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
413 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
98 |
Percent Of With Atrial Fibrillation |
10 |
Percent Of With Alzheimers Disease or Dementia |
12 |
Percent Of With Asthma |
7 |
Percent Of With Cancer |
7 |
Percent Of With Heart Failure |
18 |
Percent Of With Chronic Kidney Disease |
18 |
Percent Of With Chronic Obstructive Pulmonary Disease |
19 |
Percent Of With Depression |
31 |
Percent Of With Diabetes |
31 |
Percent Of With Hyperlipidemia |
44 |
Percent Of With Hypertension |
65 |
Percent Of With Ischemic Heart Disease |
34 |
Percent Of With Osteoporosis |
7 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
68 |
Percent Of With Schizophrenia Other PsychoticDisorders |
6 |
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
1.0747 |