National Provider Identifier [NPI]: |
1003812926 |
Last Name Of The Provider |
DISCH |
First Name Of The Provider |
DENNIS |
Middle Initial Of The Provider |
L |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
10012 KENNERLY RD |
Street Address 2 Of The Provider |
STE 300 |
City Of The Provider |
SAINT LOUIS |
Zip Code Of The Provider |
631282197 |
State Code Of The Provider |
MO |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Cardiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
66 |
Number Of Services |
7913 |
Number Of Medicare Beneficiaries |
4108 |
Total Submitted Charge Amount |
881617 |
Total Medicare Allowed Amount |
392607.46 |
Total Medicare Payment Amount |
293914.23 |
Total Medicare Standardized Payment Amount |
300908.11 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
7 |
Number Of Drug Services |
579 |
Number Of Medicare Beneficiaries With Drug Services |
182 |
Total Drug Submitted ChargeAmount |
64118 |
Total Drug Medicare AllowedAmount |
29472.35 |
Total Drug Medicare PaymentAmount |
22562.99 |
Total Drug Medicare Standardized Payment Amount |
22562.99 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
59 |
Number Of Medical Services |
7334 |
Number Of Medicare Beneficiaries With Medical Services |
4107 |
Total Medical Submitted Charge Amount |
817499 |
Total Medical Medicare Allowed Amount |
363135.11 |
Total Medical Medicare Payment Amount |
271351.24 |
Total Medical Medicare Standardized Payment Amount |
278345.12 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
652 |
Number Of Beneficiaries Age 65 to 74 |
1337 |
Number Of Beneficiaries Age 75 to 84 |
1246 |
Number Of Beneficiaries Age Greater 84 |
873 |
Number Of Female Beneficiaries |
2218 |
Number Of Male Beneficiaries |
1890 |
Number Of Non Hispanic White Beneficiaries |
3917 |
Number Of Black or African American Beneficiaries |
85 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
36 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
35 |
Number Of Beneficiaries With Medicare Only Entitlement |
3405 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
703 |
Percent Of With Atrial Fibrillation |
26 |
Percent Of With Alzheimers Disease or Dementia |
18 |
Percent Of With Asthma |
11 |
Percent Of With Cancer |
14 |
Percent Of With Heart Failure |
45 |
Percent Of With Chronic Kidney Disease |
45 |
Percent Of With Chronic Obstructive Pulmonary Disease |
31 |
Percent Of With Depression |
40 |
Percent Of With Diabetes |
37 |
Percent Of With Hyperlipidemia |
67 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
59 |
Percent Of With Osteoporosis |
15 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
51 |
Percent Of With Schizophrenia Other PsychoticDisorders |
8 |
Percent Of With Stroke |
11 |
Average HCC Risk Score Of Beneficiaries |
1.8621 |