National Provider Identifier [NPI]: |
1134238793 |
Last Name Of The Provider |
BIRK |
First Name Of The Provider |
GORDON |
Middle Initial Of The Provider |
T |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1900 MALVERN AVE |
Street Address 2 Of The Provider |
SUITE 301 |
City Of The Provider |
HOT SPRINGS |
Zip Code Of The Provider |
719017759 |
State Code Of The Provider |
AR |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Orthopedic Surgery |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
123 |
Number Of Services |
6199 |
Number Of Medicare Beneficiaries |
605 |
Total Submitted Charge Amount |
827861 |
Total Medicare Allowed Amount |
342742.22 |
Total Medicare Payment Amount |
253557.09 |
Total Medicare Standardized Payment Amount |
281674.79 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
3 |
Number Of Drug Services |
3825 |
Number Of Medicare Beneficiaries With Drug Services |
186 |
Total Drug Submitted ChargeAmount |
68308 |
Total Drug Medicare AllowedAmount |
34510.89 |
Total Drug Medicare PaymentAmount |
25307.51 |
Total Drug Medicare Standardized Payment Amount |
25307.51 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
120 |
Number Of Medical Services |
2374 |
Number Of Medicare Beneficiaries With Medical Services |
605 |
Total Medical Submitted Charge Amount |
759553 |
Total Medical Medicare Allowed Amount |
308231.33 |
Total Medical Medicare Payment Amount |
228249.58 |
Total Medical Medicare Standardized Payment Amount |
256367.28 |
Average Age Of Beneficiaries |
70 |
Number Of Beneficiaries Age Less65 |
137 |
Number Of Beneficiaries Age 65 to 74 |
245 |
Number Of Beneficiaries Age 75 to 84 |
160 |
Number Of Beneficiaries Age Greater 84 |
63 |
Number Of Female Beneficiaries |
382 |
Number Of Male Beneficiaries |
223 |
Number Of Non Hispanic White Beneficiaries |
557 |
Number Of Black or African American Beneficiaries |
29 |
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 |
466 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
139 |
Percent Of With Atrial Fibrillation |
10 |
Percent Of With Alzheimers Disease or Dementia |
12 |
Percent Of With Asthma |
9 |
Percent Of With Cancer |
8 |
Percent Of With Heart Failure |
18 |
Percent Of With Chronic Kidney Disease |
16 |
Percent Of With Chronic Obstructive Pulmonary Disease |
19 |
Percent Of With Depression |
32 |
Percent Of With Diabetes |
26 |
Percent Of With Hyperlipidemia |
55 |
Percent Of With Hypertension |
72 |
Percent Of With Ischemic Heart Disease |
39 |
Percent Of With Osteoporosis |
8 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
74 |
Percent Of With Schizophrenia Other PsychoticDisorders |
6 |
Percent Of With Stroke |
3 |
Average HCC Risk Score Of Beneficiaries |
1.2797 |