National Provider Identifier [NPI]: |
1689649071 |
Last Name Of The Provider |
SWINGLE |
First Name Of The Provider |
CHRISTOPHER |
Middle Initial Of The Provider |
A |
Credentials Of The Provider |
DO |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
615 S NEW BALLAS RD |
Street Address 2 Of The Provider |
NUCLEAR MEDICINE DEPT |
City Of The Provider |
SAINT LOUIS |
Zip Code Of The Provider |
631418221 |
State Code Of The Provider |
MO |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Nuclear Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
32 |
Number Of Services |
2169 |
Number Of Medicare Beneficiaries |
1990 |
Total Submitted Charge Amount |
367630.86 |
Total Medicare Allowed Amount |
101572.89 |
Total Medicare Payment Amount |
78359.66 |
Total Medicare Standardized Payment Amount |
80157.42 |
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 |
32 |
Number Of Medical Services |
2169 |
Number Of Medicare Beneficiaries With Medical Services |
1990 |
Total Medical Submitted Charge Amount |
367630.86 |
Total Medical Medicare Allowed Amount |
101572.89 |
Total Medical Medicare Payment Amount |
78359.66 |
Total Medical Medicare Standardized Payment Amount |
80157.42 |
Average Age Of Beneficiaries |
72 |
Number Of Beneficiaries Age Less65 |
216 |
Number Of Beneficiaries Age 65 to 74 |
1044 |
Number Of Beneficiaries Age 75 to 84 |
544 |
Number Of Beneficiaries Age Greater 84 |
186 |
Number Of Female Beneficiaries |
1530 |
Number Of Male Beneficiaries |
460 |
Number Of Non Hispanic White Beneficiaries |
1792 |
Number Of Black or African American Beneficiaries |
145 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
14 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
25 |
Number Of Beneficiaries With Medicare Only Entitlement |
1769 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
221 |
Percent Of With Atrial Fibrillation |
12 |
Percent Of With Alzheimers Disease or Dementia |
6 |
Percent Of With Asthma |
8 |
Percent Of With Cancer |
30 |
Percent Of With Heart Failure |
18 |
Percent Of With Chronic Kidney Disease |
31 |
Percent Of With Chronic Obstructive Pulmonary Disease |
17 |
Percent Of With Depression |
28 |
Percent Of With Diabetes |
27 |
Percent Of With Hyperlipidemia |
57 |
Percent Of With Hypertension |
67 |
Percent Of With Ischemic Heart Disease |
31 |
Percent Of With Osteoporosis |
18 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
41 |
Percent Of With Schizophrenia Other PsychoticDisorders |
4 |
Percent Of With Stroke |
4 |
Average HCC Risk Score Of Beneficiaries |
1.4096 |