National Provider Identifier [NPI]: |
1225232796 |
Last Name Of The Provider |
REECE |
First Name Of The Provider |
EDWARD |
Middle Initial Of The Provider |
M |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
370 E VIRGINIA AVE |
Street Address 2 Of The Provider |
STE 100 |
City Of The Provider |
PHOENIX |
Zip Code Of The Provider |
850041214 |
State Code Of The Provider |
AZ |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Hand Surgery |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
172 |
Number Of Services |
877 |
Number Of Medicare Beneficiaries |
189 |
Total Submitted Charge Amount |
942808 |
Total Medicare Allowed Amount |
187564.23 |
Total Medicare Payment Amount |
145942.11 |
Total Medicare Standardized Payment Amount |
133823.14 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
50 |
Number Of Medicare Beneficiaries With Drug Services |
12 |
Total Drug Submitted ChargeAmount |
194 |
Total Drug Medicare AllowedAmount |
32.78 |
Total Drug Medicare PaymentAmount |
25.62 |
Total Drug Medicare Standardized Payment Amount |
25.62 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
170 |
Number Of Medical Services |
827 |
Number Of Medicare Beneficiaries With Medical Services |
189 |
Total Medical Submitted Charge Amount |
942614 |
Total Medical Medicare Allowed Amount |
187531.45 |
Total Medical Medicare Payment Amount |
145916.49 |
Total Medical Medicare Standardized Payment Amount |
133797.52 |
Average Age Of Beneficiaries |
70 |
Number Of Beneficiaries Age Less65 |
40 |
Number Of Beneficiaries Age 65 to 74 |
90 |
Number Of Beneficiaries Age 75 to 84 |
40 |
Number Of Beneficiaries Age Greater 84 |
19 |
Number Of Female Beneficiaries |
102 |
Number Of Male Beneficiaries |
87 |
Number Of Non Hispanic White Beneficiaries |
166 |
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 |
156 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
33 |
Percent Of With Atrial Fibrillation |
16 |
Percent Of With Alzheimers Disease or Dementia |
12 |
Percent Of With Asthma |
11 |
Percent Of With Cancer |
10 |
Percent Of With Heart Failure |
21 |
Percent Of With Chronic Kidney Disease |
29 |
Percent Of With Chronic Obstructive Pulmonary Disease |
20 |
Percent Of With Depression |
28 |
Percent Of With Diabetes |
26 |
Percent Of With Hyperlipidemia |
53 |
Percent Of With Hypertension |
69 |
Percent Of With Ischemic Heart Disease |
39 |
Percent Of With Osteoporosis |
11 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
50 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
9 |
Average HCC Risk Score Of Beneficiaries |
1.8213 |