National Provider Identifier [NPI]: |
1720283682 |
Last Name Of The Provider |
WARD |
First Name Of The Provider |
MARION |
Middle Initial Of The Provider |
S |
Credentials Of The Provider |
M.D., PHD. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
2500 NORTH STATE STREET |
Street Address 2 Of The Provider |
DEPARTMENT OF ORTHOPEDICS |
City Of The Provider |
JACKSON |
Zip Code Of The Provider |
392164500 |
State Code Of The Provider |
MS |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Orthopedic Surgery |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
69 |
Number Of Services |
778 |
Number Of Medicare Beneficiaries |
289 |
Total Submitted Charge Amount |
462256 |
Total Medicare Allowed Amount |
140824.67 |
Total Medicare Payment Amount |
107524.83 |
Total Medicare Standardized Payment Amount |
111478.18 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
1 |
Number Of Drug Services |
33 |
Number Of Medicare Beneficiaries With Drug Services |
14 |
Total Drug Submitted ChargeAmount |
1650 |
Total Drug Medicare AllowedAmount |
58.99 |
Total Drug Medicare PaymentAmount |
46.19 |
Total Drug Medicare Standardized Payment Amount |
46.19 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
68 |
Number Of Medical Services |
745 |
Number Of Medicare Beneficiaries With Medical Services |
289 |
Total Medical Submitted Charge Amount |
460606 |
Total Medical Medicare Allowed Amount |
140765.68 |
Total Medical Medicare Payment Amount |
107478.64 |
Total Medical Medicare Standardized Payment Amount |
111431.99 |
Average Age Of Beneficiaries |
68 |
Number Of Beneficiaries Age Less65 |
105 |
Number Of Beneficiaries Age 65 to 74 |
89 |
Number Of Beneficiaries Age 75 to 84 |
66 |
Number Of Beneficiaries Age Greater 84 |
29 |
Number Of Female Beneficiaries |
185 |
Number Of Male Beneficiaries |
104 |
Number Of Non Hispanic White Beneficiaries |
206 |
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 |
188 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
101 |
Percent Of With Atrial Fibrillation |
10 |
Percent Of With Alzheimers Disease or Dementia |
11 |
Percent Of With Asthma |
9 |
Percent Of With Cancer |
8 |
Percent Of With Heart Failure |
22 |
Percent Of With Chronic Kidney Disease |
20 |
Percent Of With Chronic Obstructive Pulmonary Disease |
16 |
Percent Of With Depression |
39 |
Percent Of With Diabetes |
34 |
Percent Of With Hyperlipidemia |
45 |
Percent Of With Hypertension |
73 |
Percent Of With Ischemic Heart Disease |
32 |
Percent Of With Osteoporosis |
25 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
72 |
Percent Of With Schizophrenia Other PsychoticDisorders |
6 |
Percent Of With Stroke |
6 |
Average HCC Risk Score Of Beneficiaries |
1.245 |