Medicare Facts for Dr. Brendan C. Stack, DDS


National Provider Identifier [NPI]: 1437165164
Last Name Of The Provider STACK
First Name Of The Provider BRENDAN
Middle Initial Of The Provider C
Credentials Of The Provider MD
Gender Of The Provider M
Entity Type Of The Provider I
Street Address 1 Of The Provider 4301 W MARKHAM ST # 543
Street Address 2 Of The Provider
City Of The Provider LITTLE ROCK
Zip Code Of The Provider 722057101
State Code Of The Provider AR
Country Code Of The Provider US
Provider Type Of The Provider Otolaryngology
Medicare Participation Indicator Y
Number Of HCPCS 76
Number Of Services 627
Number Of Medicare Beneficiaries 213
Total Submitted Charge Amount 408346
Total Medicare Allowed Amount 145915.86
Total Medicare Payment Amount 111408.62
Total Medicare Standardized Payment Amount 123528.26
Drug Suppress Indicator
Number Of HCPCS Associated With Drug Services 0
Number Of Drug Services 0
Number Of Medicare Beneficiaries With Drug Services 0
Total Drug Submitted ChargeAmount 0
Total Drug Medicare AllowedAmount 0
Total Drug Medicare PaymentAmount 0
Total Drug Medicare Standardized Payment Amount 0
Medical SuppressIndicator
Number Of HCPCS Associated With MedicalServices 76
Number Of Medical Services 627
Number Of Medicare Beneficiaries With Medical Services 213
Total Medical Submitted Charge Amount 408346
Total Medical Medicare Allowed Amount 145915.86
Total Medical Medicare Payment Amount 111408.62
Total Medical Medicare Standardized Payment Amount 123528.26
Average Age Of Beneficiaries 68
Number Of Beneficiaries Age Less65
Number Of Beneficiaries Age 65 to 74 95
Number Of Beneficiaries Age 75 to 84 57
Number Of Beneficiaries Age Greater 84
Number Of Female Beneficiaries 127
Number Of Male Beneficiaries 86
Number Of Non Hispanic White Beneficiaries 180
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 177
Number Of Beneficiaries With Medicare Medicaid Entitlement 36
Percent Of With Atrial Fibrillation 8
Percent Of With Alzheimers Disease or Dementia 8
Percent Of With Asthma 8
Percent Of With Cancer 12
Percent Of With Heart Failure 14
Percent Of With Chronic Kidney Disease 30
Percent Of With Chronic Obstructive Pulmonary Disease 17
Percent Of With Depression 26
Percent Of With Diabetes 33
Percent Of With Hyperlipidemia 51
Percent Of With Hypertension 75
Percent Of With Ischemic Heart Disease 39
Percent Of With Osteoporosis 14
Percent Of With Rheumatoid Arthritis Osteoarthritis 35
Percent Of With Schizophrenia Other PsychoticDisorders
Percent Of With Stroke 7
Average HCC Risk Score Of Beneficiaries 1.659

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