National Provider Identifier [NPI]: |
1891802385 |
Last Name Of The Provider |
KEISER |
First Name Of The Provider |
DARREN |
Middle Initial Of The Provider |
K |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
16120 W DODGE RD |
Street Address 2 Of The Provider |
|
City Of The Provider |
OMAHA |
Zip Code Of The Provider |
681182049 |
State Code Of The Provider |
NE |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Orthopedic Surgery |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
101 |
Number Of Services |
3060 |
Number Of Medicare Beneficiaries |
496 |
Total Submitted Charge Amount |
975550.4 |
Total Medicare Allowed Amount |
271371.53 |
Total Medicare Payment Amount |
205015.58 |
Total Medicare Standardized Payment Amount |
222212.74 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
5 |
Number Of Drug Services |
766 |
Number Of Medicare Beneficiaries With Drug Services |
303 |
Total Drug Submitted ChargeAmount |
45184 |
Total Drug Medicare AllowedAmount |
23623.77 |
Total Drug Medicare PaymentAmount |
17955.5 |
Total Drug Medicare Standardized Payment Amount |
17955.5 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
96 |
Number Of Medical Services |
2294 |
Number Of Medicare Beneficiaries With Medical Services |
496 |
Total Medical Submitted Charge Amount |
930366.4 |
Total Medical Medicare Allowed Amount |
247747.76 |
Total Medical Medicare Payment Amount |
187060.08 |
Total Medical Medicare Standardized Payment Amount |
204257.24 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
46 |
Number Of Beneficiaries Age 65 to 74 |
234 |
Number Of Beneficiaries Age 75 to 84 |
139 |
Number Of Beneficiaries Age Greater 84 |
77 |
Number Of Female Beneficiaries |
310 |
Number Of Male Beneficiaries |
186 |
Number Of Non Hispanic White Beneficiaries |
467 |
Number Of Black or African American Beneficiaries |
13 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
446 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
50 |
Percent Of With Atrial Fibrillation |
11 |
Percent Of With Alzheimers Disease or Dementia |
11 |
Percent Of With Asthma |
6 |
Percent Of With Cancer |
12 |
Percent Of With Heart Failure |
13 |
Percent Of With Chronic Kidney Disease |
22 |
Percent Of With Chronic Obstructive Pulmonary Disease |
10 |
Percent Of With Depression |
24 |
Percent Of With Diabetes |
30 |
Percent Of With Hyperlipidemia |
50 |
Percent Of With Hypertension |
65 |
Percent Of With Ischemic Heart Disease |
33 |
Percent Of With Osteoporosis |
12 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
70 |
Percent Of With Schizophrenia Other PsychoticDisorders |
4 |
Percent Of With Stroke |
3 |
Average HCC Risk Score Of Beneficiaries |
1.1322 |