National Provider Identifier [NPI]: |
1821149329 |
Last Name Of The Provider |
STERN |
First Name Of The Provider |
CHRISTINE |
Middle Initial Of The Provider |
B |
Credentials Of The Provider |
D.P.M. |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
100 MIDDLE COUNTRY RD |
Street Address 2 Of The Provider |
|
City Of The Provider |
CORAM |
Zip Code Of The Provider |
117274412 |
State Code Of The Provider |
NY |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Podiatry |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
33 |
Number Of Services |
3137 |
Number Of Medicare Beneficiaries |
848 |
Total Submitted Charge Amount |
298587.45 |
Total Medicare Allowed Amount |
260914.43 |
Total Medicare Payment Amount |
193145.62 |
Total Medicare Standardized Payment Amount |
168813.32 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
1 |
Number Of Drug Services |
52 |
Number Of Medicare Beneficiaries With Drug Services |
35 |
Total Drug Submitted ChargeAmount |
1300 |
Total Drug Medicare AllowedAmount |
156.33 |
Total Drug Medicare PaymentAmount |
118.27 |
Total Drug Medicare Standardized Payment Amount |
118.27 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
32 |
Number Of Medical Services |
3085 |
Number Of Medicare Beneficiaries With Medical Services |
848 |
Total Medical Submitted Charge Amount |
297287.45 |
Total Medical Medicare Allowed Amount |
260758.1 |
Total Medical Medicare Payment Amount |
193027.35 |
Total Medical Medicare Standardized Payment Amount |
168695.05 |
Average Age Of Beneficiaries |
79 |
Number Of Beneficiaries Age Less65 |
65 |
Number Of Beneficiaries Age 65 to 74 |
211 |
Number Of Beneficiaries Age 75 to 84 |
276 |
Number Of Beneficiaries Age Greater 84 |
296 |
Number Of Female Beneficiaries |
439 |
Number Of Male Beneficiaries |
409 |
Number Of Non Hispanic White Beneficiaries |
754 |
Number Of Black or African American Beneficiaries |
59 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
21 |
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
559 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
289 |
Percent Of With Atrial Fibrillation |
20 |
Percent Of With Alzheimers Disease or Dementia |
36 |
Percent Of With Asthma |
5 |
Percent Of With Cancer |
11 |
Percent Of With Heart Failure |
31 |
Percent Of With Chronic Kidney Disease |
29 |
Percent Of With Chronic Obstructive Pulmonary Disease |
15 |
Percent Of With Depression |
24 |
Percent Of With Diabetes |
47 |
Percent Of With Hyperlipidemia |
63 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
56 |
Percent Of With Osteoporosis |
13 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
45 |
Percent Of With Schizophrenia Other PsychoticDisorders |
9 |
Percent Of With Stroke |
10 |
Average HCC Risk Score Of Beneficiaries |
1.906 |