National Provider Identifier [NPI]: |
1740271238 |
Last Name Of The Provider |
CUMMINGS |
First Name Of The Provider |
JEFFREY |
Middle Initial Of The Provider |
R |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
973 MICA DR |
Street Address 2 Of The Provider |
SUITE 201 |
City Of The Provider |
CARSON CITY |
Zip Code Of The Provider |
897057255 |
State Code Of The Provider |
NV |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Orthopedic Surgery |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
94 |
Number Of Services |
3698 |
Number Of Medicare Beneficiaries |
647 |
Total Submitted Charge Amount |
1557837 |
Total Medicare Allowed Amount |
346641.01 |
Total Medicare Payment Amount |
259078.97 |
Total Medicare Standardized Payment Amount |
254455.2 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
5 |
Number Of Drug Services |
1469 |
Number Of Medicare Beneficiaries With Drug Services |
208 |
Total Drug Submitted ChargeAmount |
41832 |
Total Drug Medicare AllowedAmount |
21507.33 |
Total Drug Medicare PaymentAmount |
16258.65 |
Total Drug Medicare Standardized Payment Amount |
16258.65 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
89 |
Number Of Medical Services |
2229 |
Number Of Medicare Beneficiaries With Medical Services |
647 |
Total Medical Submitted Charge Amount |
1516005 |
Total Medical Medicare Allowed Amount |
325133.68 |
Total Medical Medicare Payment Amount |
242820.32 |
Total Medical Medicare Standardized Payment Amount |
238196.55 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
74 |
Number Of Beneficiaries Age 65 to 74 |
306 |
Number Of Beneficiaries Age 75 to 84 |
206 |
Number Of Beneficiaries Age Greater 84 |
61 |
Number Of Female Beneficiaries |
400 |
Number Of Male Beneficiaries |
247 |
Number Of Non Hispanic White Beneficiaries |
596 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
34 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
594 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
53 |
Percent Of With Atrial Fibrillation |
7 |
Percent Of With Alzheimers Disease or Dementia |
7 |
Percent Of With Asthma |
8 |
Percent Of With Cancer |
10 |
Percent Of With Heart Failure |
9 |
Percent Of With Chronic Kidney Disease |
15 |
Percent Of With Chronic Obstructive Pulmonary Disease |
14 |
Percent Of With Depression |
25 |
Percent Of With Diabetes |
21 |
Percent Of With Hyperlipidemia |
54 |
Percent Of With Hypertension |
66 |
Percent Of With Ischemic Heart Disease |
25 |
Percent Of With Osteoporosis |
8 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
67 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
4 |
Average HCC Risk Score Of Beneficiaries |
0.9636 |