National Provider Identifier [NPI]: |
1609855485 |
Last Name Of The Provider |
SENICA |
First Name Of The Provider |
KAROLYN |
Middle Initial Of The Provider |
M |
Credentials Of The Provider |
MD |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1301 S KOKE MILL RD |
Street Address 2 Of The Provider |
|
City Of The Provider |
SPRINGFIELD |
Zip Code Of The Provider |
627119252 |
State Code Of The Provider |
IL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Orthopedic Surgery |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
82 |
Number Of Services |
12635 |
Number Of Medicare Beneficiaries |
1076 |
Total Submitted Charge Amount |
1859585 |
Total Medicare Allowed Amount |
376085.45 |
Total Medicare Payment Amount |
275187.25 |
Total Medicare Standardized Payment Amount |
287108.91 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
6 |
Number Of Drug Services |
8097 |
Number Of Medicare Beneficiaries With Drug Services |
572 |
Total Drug Submitted ChargeAmount |
235362 |
Total Drug Medicare AllowedAmount |
59638.57 |
Total Drug Medicare PaymentAmount |
46420.91 |
Total Drug Medicare Standardized Payment Amount |
46420.91 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
76 |
Number Of Medical Services |
4538 |
Number Of Medicare Beneficiaries With Medical Services |
1076 |
Total Medical Submitted Charge Amount |
1624223 |
Total Medical Medicare Allowed Amount |
316446.88 |
Total Medical Medicare Payment Amount |
228766.34 |
Total Medical Medicare Standardized Payment Amount |
240688 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
109 |
Number Of Beneficiaries Age 65 to 74 |
438 |
Number Of Beneficiaries Age 75 to 84 |
350 |
Number Of Beneficiaries Age Greater 84 |
179 |
Number Of Female Beneficiaries |
730 |
Number Of Male Beneficiaries |
346 |
Number Of Non Hispanic White Beneficiaries |
1036 |
Number Of Black or African American Beneficiaries |
19 |
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 |
937 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
139 |
Percent Of With Atrial Fibrillation |
11 |
Percent Of With Alzheimers Disease or Dementia |
8 |
Percent Of With Asthma |
9 |
Percent Of With Cancer |
10 |
Percent Of With Heart Failure |
15 |
Percent Of With Chronic Kidney Disease |
17 |
Percent Of With Chronic Obstructive Pulmonary Disease |
14 |
Percent Of With Depression |
25 |
Percent Of With Diabetes |
28 |
Percent Of With Hyperlipidemia |
53 |
Percent Of With Hypertension |
66 |
Percent Of With Ischemic Heart Disease |
34 |
Percent Of With Osteoporosis |
8 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
71 |
Percent Of With Schizophrenia Other PsychoticDisorders |
2 |
Percent Of With Stroke |
4 |
Average HCC Risk Score Of Beneficiaries |
1.0821 |