National Provider Identifier [NPI]: |
1629071675 |
Last Name Of The Provider |
SNEIDERS |
First Name Of The Provider |
ALEX |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
300 STATE AVE |
Street Address 2 Of The Provider |
|
City Of The Provider |
FARIBAULT |
Zip Code Of The Provider |
550216319 |
State Code Of The Provider |
MN |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Urology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
73 |
Number Of Services |
1225 |
Number Of Medicare Beneficiaries |
263 |
Total Submitted Charge Amount |
579332.6 |
Total Medicare Allowed Amount |
125039.7 |
Total Medicare Payment Amount |
94540.46 |
Total Medicare Standardized Payment Amount |
97070.66 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
6 |
Number Of Drug Services |
284 |
Number Of Medicare Beneficiaries With Drug Services |
22 |
Total Drug Submitted ChargeAmount |
51629.6 |
Total Drug Medicare AllowedAmount |
29974.29 |
Total Drug Medicare PaymentAmount |
23418.64 |
Total Drug Medicare Standardized Payment Amount |
23418.64 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
67 |
Number Of Medical Services |
941 |
Number Of Medicare Beneficiaries With Medical Services |
263 |
Total Medical Submitted Charge Amount |
527703 |
Total Medical Medicare Allowed Amount |
95065.41 |
Total Medical Medicare Payment Amount |
71121.82 |
Total Medical Medicare Standardized Payment Amount |
73652.02 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
43 |
Number Of Beneficiaries Age 65 to 74 |
82 |
Number Of Beneficiaries Age 75 to 84 |
83 |
Number Of Beneficiaries Age Greater 84 |
55 |
Number Of Female Beneficiaries |
53 |
Number Of Male Beneficiaries |
210 |
Number Of Non Hispanic White Beneficiaries |
252 |
Number Of Black or African American Beneficiaries |
|
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 |
202 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
61 |
Percent Of With Atrial Fibrillation |
12 |
Percent Of With Alzheimers Disease or Dementia |
10 |
Percent Of With Asthma |
|
Percent Of With Cancer |
17 |
Percent Of With Heart Failure |
16 |
Percent Of With Chronic Kidney Disease |
25 |
Percent Of With Chronic Obstructive Pulmonary Disease |
8 |
Percent Of With Depression |
22 |
Percent Of With Diabetes |
30 |
Percent Of With Hyperlipidemia |
38 |
Percent Of With Hypertension |
60 |
Percent Of With Ischemic Heart Disease |
31 |
Percent Of With Osteoporosis |
|
Percent Of With Rheumatoid Arthritis Osteoarthritis |
21 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
6 |
Average HCC Risk Score Of Beneficiaries |
1.2906 |