National Provider Identifier [NPI]: |
1972607604 |
Last Name Of The Provider |
MORGAN |
First Name Of The Provider |
RICHARD |
Middle Initial Of The Provider |
L |
Credentials Of The Provider |
|
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
510 LINCOLN AVE |
Street Address 2 Of The Provider |
SOUTHERN ORTHOPEDIC ASSOCIATES SC |
City Of The Provider |
HERRIN |
Zip Code Of The Provider |
62948 |
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 |
116 |
Number Of Services |
4004 |
Number Of Medicare Beneficiaries |
593 |
Total Submitted Charge Amount |
1607918.26 |
Total Medicare Allowed Amount |
391947.92 |
Total Medicare Payment Amount |
299721.11 |
Total Medicare Standardized Payment Amount |
304319.77 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
6 |
Number Of Drug Services |
731 |
Number Of Medicare Beneficiaries With Drug Services |
209 |
Total Drug Submitted ChargeAmount |
175252 |
Total Drug Medicare AllowedAmount |
46581.13 |
Total Drug Medicare PaymentAmount |
35710.6 |
Total Drug Medicare Standardized Payment Amount |
35710.6 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
110 |
Number Of Medical Services |
3273 |
Number Of Medicare Beneficiaries With Medical Services |
593 |
Total Medical Submitted Charge Amount |
1432666.26 |
Total Medical Medicare Allowed Amount |
345366.79 |
Total Medical Medicare Payment Amount |
264010.51 |
Total Medical Medicare Standardized Payment Amount |
268609.17 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
90 |
Number Of Beneficiaries Age 65 to 74 |
248 |
Number Of Beneficiaries Age 75 to 84 |
188 |
Number Of Beneficiaries Age Greater 84 |
67 |
Number Of Female Beneficiaries |
393 |
Number Of Male Beneficiaries |
200 |
Number Of Non Hispanic White Beneficiaries |
569 |
Number Of Black or African American Beneficiaries |
12 |
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 |
478 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
115 |
Percent Of With Atrial Fibrillation |
12 |
Percent Of With Alzheimers Disease or Dementia |
8 |
Percent Of With Asthma |
6 |
Percent Of With Cancer |
7 |
Percent Of With Heart Failure |
18 |
Percent Of With Chronic Kidney Disease |
26 |
Percent Of With Chronic Obstructive Pulmonary Disease |
23 |
Percent Of With Depression |
26 |
Percent Of With Diabetes |
35 |
Percent Of With Hyperlipidemia |
59 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
37 |
Percent Of With Osteoporosis |
6 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
75 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
2 |
Average HCC Risk Score Of Beneficiaries |
1.1411 |