National Provider Identifier [NPI]: |
1659309102 |
Last Name Of The Provider |
HERRENBRUCK |
First Name Of The Provider |
TODD |
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 |
520 S SANTA FE AVE |
Street Address 2 Of The Provider |
SUITE 400 |
City Of The Provider |
SALINA |
Zip Code Of The Provider |
674014190 |
State Code Of The Provider |
KS |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Orthopedic Surgery |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
95 |
Number Of Services |
3411 |
Number Of Medicare Beneficiaries |
742 |
Total Submitted Charge Amount |
1223847 |
Total Medicare Allowed Amount |
448829.31 |
Total Medicare Payment Amount |
341643.99 |
Total Medicare Standardized Payment Amount |
363926.59 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
4 |
Number Of Drug Services |
1197 |
Number Of Medicare Beneficiaries With Drug Services |
294 |
Total Drug Submitted ChargeAmount |
21425 |
Total Drug Medicare AllowedAmount |
11547.5 |
Total Drug Medicare PaymentAmount |
8979.42 |
Total Drug Medicare Standardized Payment Amount |
8979.42 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
91 |
Number Of Medical Services |
2214 |
Number Of Medicare Beneficiaries With Medical Services |
742 |
Total Medical Submitted Charge Amount |
1202422 |
Total Medical Medicare Allowed Amount |
437281.81 |
Total Medical Medicare Payment Amount |
332664.57 |
Total Medical Medicare Standardized Payment Amount |
354947.17 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
63 |
Number Of Beneficiaries Age 65 to 74 |
316 |
Number Of Beneficiaries Age 75 to 84 |
250 |
Number Of Beneficiaries Age Greater 84 |
113 |
Number Of Female Beneficiaries |
455 |
Number Of Male Beneficiaries |
287 |
Number Of Non Hispanic White Beneficiaries |
718 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
11 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
677 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
65 |
Percent Of With Atrial Fibrillation |
11 |
Percent Of With Alzheimers Disease or Dementia |
9 |
Percent Of With Asthma |
6 |
Percent Of With Cancer |
10 |
Percent Of With Heart Failure |
12 |
Percent Of With Chronic Kidney Disease |
15 |
Percent Of With Chronic Obstructive Pulmonary Disease |
13 |
Percent Of With Depression |
23 |
Percent Of With Diabetes |
25 |
Percent Of With Hyperlipidemia |
47 |
Percent Of With Hypertension |
68 |
Percent Of With Ischemic Heart Disease |
25 |
Percent Of With Osteoporosis |
9 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
72 |
Percent Of With Schizophrenia Other PsychoticDisorders |
4 |
Percent Of With Stroke |
3 |
Average HCC Risk Score Of Beneficiaries |
0.9219 |