National Provider Identifier [NPI]: |
1891889978 |
Last Name Of The Provider |
REARDON |
First Name Of The Provider |
JAMES |
Middle Initial Of The Provider |
P |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
2790 CLAY EDWARDS DR |
Street Address 2 Of The Provider |
STE 1230 |
City Of The Provider |
NORTH KANSAS CITY |
Zip Code Of The Provider |
641163276 |
State Code Of The Provider |
MO |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Orthopedic Surgery |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
86 |
Number Of Services |
2485 |
Number Of Medicare Beneficiaries |
544 |
Total Submitted Charge Amount |
826896.8 |
Total Medicare Allowed Amount |
293106.95 |
Total Medicare Payment Amount |
223023.31 |
Total Medicare Standardized Payment Amount |
227308.62 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
5 |
Number Of Drug Services |
816 |
Number Of Medicare Beneficiaries With Drug Services |
212 |
Total Drug Submitted ChargeAmount |
29043 |
Total Drug Medicare AllowedAmount |
14106.79 |
Total Drug Medicare PaymentAmount |
11048.17 |
Total Drug Medicare Standardized Payment Amount |
11048.17 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
81 |
Number Of Medical Services |
1669 |
Number Of Medicare Beneficiaries With Medical Services |
544 |
Total Medical Submitted Charge Amount |
797853.8 |
Total Medical Medicare Allowed Amount |
279000.16 |
Total Medical Medicare Payment Amount |
211975.14 |
Total Medical Medicare Standardized Payment Amount |
216260.45 |
Average Age Of Beneficiaries |
72 |
Number Of Beneficiaries Age Less65 |
60 |
Number Of Beneficiaries Age 65 to 74 |
279 |
Number Of Beneficiaries Age 75 to 84 |
162 |
Number Of Beneficiaries Age Greater 84 |
43 |
Number Of Female Beneficiaries |
327 |
Number Of Male Beneficiaries |
217 |
Number Of Non Hispanic White Beneficiaries |
513 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
12 |
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
511 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
33 |
Percent Of With Atrial Fibrillation |
10 |
Percent Of With Alzheimers Disease or Dementia |
7 |
Percent Of With Asthma |
9 |
Percent Of With Cancer |
12 |
Percent Of With Heart Failure |
11 |
Percent Of With Chronic Kidney Disease |
18 |
Percent Of With Chronic Obstructive Pulmonary Disease |
13 |
Percent Of With Depression |
21 |
Percent Of With Diabetes |
28 |
Percent Of With Hyperlipidemia |
58 |
Percent Of With Hypertension |
68 |
Percent Of With Ischemic Heart Disease |
33 |
Percent Of With Osteoporosis |
9 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
75 |
Percent Of With Schizophrenia Other PsychoticDisorders |
2 |
Percent Of With Stroke |
3 |
Average HCC Risk Score Of Beneficiaries |
1.0329 |