National Provider Identifier [NPI]: |
1154535797 |
Last Name Of The Provider |
STARNES |
First Name Of The Provider |
TREVOR |
Middle Initial Of The Provider |
T |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
300 TOWER ROAD |
Street Address 2 Of The Provider |
SUITE 200 |
City Of The Provider |
MARIETTA |
Zip Code Of The Provider |
300609403 |
State Code Of The Provider |
GA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Orthopedic Surgery |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
168 |
Number Of Services |
3329 |
Number Of Medicare Beneficiaries |
515 |
Total Submitted Charge Amount |
908045.8 |
Total Medicare Allowed Amount |
319440.3 |
Total Medicare Payment Amount |
242544.1 |
Total Medicare Standardized Payment Amount |
242060.51 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
3 |
Number Of Drug Services |
944 |
Number Of Medicare Beneficiaries With Drug Services |
126 |
Total Drug Submitted ChargeAmount |
76564 |
Total Drug Medicare AllowedAmount |
25114.03 |
Total Drug Medicare PaymentAmount |
19659.51 |
Total Drug Medicare Standardized Payment Amount |
19659.51 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
165 |
Number Of Medical Services |
2385 |
Number Of Medicare Beneficiaries With Medical Services |
515 |
Total Medical Submitted Charge Amount |
831481.8 |
Total Medical Medicare Allowed Amount |
294326.27 |
Total Medical Medicare Payment Amount |
222884.59 |
Total Medical Medicare Standardized Payment Amount |
222401 |
Average Age Of Beneficiaries |
72 |
Number Of Beneficiaries Age Less65 |
57 |
Number Of Beneficiaries Age 65 to 74 |
263 |
Number Of Beneficiaries Age 75 to 84 |
138 |
Number Of Beneficiaries Age Greater 84 |
57 |
Number Of Female Beneficiaries |
300 |
Number Of Male Beneficiaries |
215 |
Number Of Non Hispanic White Beneficiaries |
483 |
Number Of Black or African American Beneficiaries |
18 |
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 |
459 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
56 |
Percent Of With Atrial Fibrillation |
11 |
Percent Of With Alzheimers Disease or Dementia |
11 |
Percent Of With Asthma |
7 |
Percent Of With Cancer |
6 |
Percent Of With Heart Failure |
14 |
Percent Of With Chronic Kidney Disease |
24 |
Percent Of With Chronic Obstructive Pulmonary Disease |
14 |
Percent Of With Depression |
22 |
Percent Of With Diabetes |
27 |
Percent Of With Hyperlipidemia |
60 |
Percent Of With Hypertension |
70 |
Percent Of With Ischemic Heart Disease |
33 |
Percent Of With Osteoporosis |
10 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
61 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
1.1506 |