National Provider Identifier [NPI]: |
1760470983 |
Last Name Of The Provider |
HARDY |
First Name Of The Provider |
ROSS |
Middle Initial Of The Provider |
A |
Credentials Of The Provider |
M. D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1662 HIGDON FERRY RD |
Street Address 2 Of The Provider |
SUITE 300 |
City Of The Provider |
HOT SPRINGS |
Zip Code Of The Provider |
719136999 |
State Code Of The Provider |
AR |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Physical Medicine and Rehabilitation |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
59 |
Number Of Services |
11636 |
Number Of Medicare Beneficiaries |
586 |
Total Submitted Charge Amount |
509206 |
Total Medicare Allowed Amount |
293725.74 |
Total Medicare Payment Amount |
222294.18 |
Total Medicare Standardized Payment Amount |
222849.14 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
6 |
Number Of Drug Services |
9097 |
Number Of Medicare Beneficiaries With Drug Services |
111 |
Total Drug Submitted ChargeAmount |
145370 |
Total Drug Medicare AllowedAmount |
86978.01 |
Total Drug Medicare PaymentAmount |
66999.88 |
Total Drug Medicare Standardized Payment Amount |
66999.88 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
53 |
Number Of Medical Services |
2539 |
Number Of Medicare Beneficiaries With Medical Services |
586 |
Total Medical Submitted Charge Amount |
363836 |
Total Medical Medicare Allowed Amount |
206747.73 |
Total Medical Medicare Payment Amount |
155294.3 |
Total Medical Medicare Standardized Payment Amount |
155849.26 |
Average Age Of Beneficiaries |
71 |
Number Of Beneficiaries Age Less65 |
124 |
Number Of Beneficiaries Age 65 to 74 |
216 |
Number Of Beneficiaries Age 75 to 84 |
194 |
Number Of Beneficiaries Age Greater 84 |
52 |
Number Of Female Beneficiaries |
382 |
Number Of Male Beneficiaries |
204 |
Number Of Non Hispanic White Beneficiaries |
554 |
Number Of Black or African American Beneficiaries |
13 |
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 |
476 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
110 |
Percent Of With Atrial Fibrillation |
10 |
Percent Of With Alzheimers Disease or Dementia |
6 |
Percent Of With Asthma |
7 |
Percent Of With Cancer |
8 |
Percent Of With Heart Failure |
17 |
Percent Of With Chronic Kidney Disease |
13 |
Percent Of With Chronic Obstructive Pulmonary Disease |
17 |
Percent Of With Depression |
26 |
Percent Of With Diabetes |
26 |
Percent Of With Hyperlipidemia |
58 |
Percent Of With Hypertension |
71 |
Percent Of With Ischemic Heart Disease |
39 |
Percent Of With Osteoporosis |
12 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
68 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
1.201 |