National Provider Identifier [NPI]: |
1447242276 |
Last Name Of The Provider |
ATCHISON |
First Name Of The Provider |
STEVEN |
Middle Initial Of The Provider |
M |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1500 LINE AVENUE |
Street Address 2 Of The Provider |
STE 100 |
City Of The Provider |
SHREVEPORT |
Zip Code Of The Provider |
71101 |
State Code Of The Provider |
LA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Orthopedic Surgery |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
101 |
Number Of Services |
4918 |
Number Of Medicare Beneficiaries |
833 |
Total Submitted Charge Amount |
2205892 |
Total Medicare Allowed Amount |
529680.12 |
Total Medicare Payment Amount |
399850.02 |
Total Medicare Standardized Payment Amount |
416763.61 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
8 |
Number Of Drug Services |
1283 |
Number Of Medicare Beneficiaries With Drug Services |
288 |
Total Drug Submitted ChargeAmount |
283633 |
Total Drug Medicare AllowedAmount |
71189.39 |
Total Drug Medicare PaymentAmount |
55084.98 |
Total Drug Medicare Standardized Payment Amount |
55084.98 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
93 |
Number Of Medical Services |
3635 |
Number Of Medicare Beneficiaries With Medical Services |
833 |
Total Medical Submitted Charge Amount |
1922259 |
Total Medical Medicare Allowed Amount |
458490.73 |
Total Medical Medicare Payment Amount |
344765.04 |
Total Medical Medicare Standardized Payment Amount |
361678.63 |
Average Age Of Beneficiaries |
72 |
Number Of Beneficiaries Age Less65 |
105 |
Number Of Beneficiaries Age 65 to 74 |
388 |
Number Of Beneficiaries Age 75 to 84 |
284 |
Number Of Beneficiaries Age Greater 84 |
56 |
Number Of Female Beneficiaries |
521 |
Number Of Male Beneficiaries |
312 |
Number Of Non Hispanic White Beneficiaries |
725 |
Number Of Black or African American Beneficiaries |
95 |
Number Of AsianPacific Islander Beneficiaries |
0 |
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 |
742 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
91 |
Percent Of With Atrial Fibrillation |
8 |
Percent Of With Alzheimers Disease or Dementia |
7 |
Percent Of With Asthma |
7 |
Percent Of With Cancer |
9 |
Percent Of With Heart Failure |
14 |
Percent Of With Chronic Kidney Disease |
20 |
Percent Of With Chronic Obstructive Pulmonary Disease |
13 |
Percent Of With Depression |
21 |
Percent Of With Diabetes |
27 |
Percent Of With Hyperlipidemia |
55 |
Percent Of With Hypertension |
73 |
Percent Of With Ischemic Heart Disease |
36 |
Percent Of With Osteoporosis |
9 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
75 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
3 |
Average HCC Risk Score Of Beneficiaries |
1.0574 |