National Provider Identifier [NPI]: |
1275569212 |
Last Name Of The Provider |
STEINER |
First Name Of The Provider |
EDWARD |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
7253 AMBASSADOR RD |
Street Address 2 Of The Provider |
|
City Of The Provider |
BALTIMORE |
Zip Code Of The Provider |
212442710 |
State Code Of The Provider |
MD |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Diagnostic Radiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
155 |
Number Of Services |
16145 |
Number Of Medicare Beneficiaries |
3129 |
Total Submitted Charge Amount |
2139734.93 |
Total Medicare Allowed Amount |
561339.11 |
Total Medicare Payment Amount |
425133.26 |
Total Medicare Standardized Payment Amount |
402122.09 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
4 |
Number Of Drug Services |
12102 |
Number Of Medicare Beneficiaries With Drug Services |
319 |
Total Drug Submitted ChargeAmount |
12813.05 |
Total Drug Medicare AllowedAmount |
8934 |
Total Drug Medicare PaymentAmount |
6210.11 |
Total Drug Medicare Standardized Payment Amount |
6210.11 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
151 |
Number Of Medical Services |
4043 |
Number Of Medicare Beneficiaries With Medical Services |
3129 |
Total Medical Submitted Charge Amount |
2126921.88 |
Total Medical Medicare Allowed Amount |
552405.11 |
Total Medical Medicare Payment Amount |
418923.15 |
Total Medical Medicare Standardized Payment Amount |
395911.98 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
457 |
Number Of Beneficiaries Age 65 to 74 |
1249 |
Number Of Beneficiaries Age 75 to 84 |
918 |
Number Of Beneficiaries Age Greater 84 |
505 |
Number Of Female Beneficiaries |
1905 |
Number Of Male Beneficiaries |
1224 |
Number Of Non Hispanic White Beneficiaries |
2652 |
Number Of Black or African American Beneficiaries |
358 |
Number Of AsianPacific Islander Beneficiaries |
48 |
Number Of Hispanic Beneficiaries |
36 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
2636 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
493 |
Percent Of With Atrial Fibrillation |
15 |
Percent Of With Alzheimers Disease or Dementia |
15 |
Percent Of With Asthma |
10 |
Percent Of With Cancer |
16 |
Percent Of With Heart Failure |
22 |
Percent Of With Chronic Kidney Disease |
27 |
Percent Of With Chronic Obstructive Pulmonary Disease |
22 |
Percent Of With Depression |
30 |
Percent Of With Diabetes |
37 |
Percent Of With Hyperlipidemia |
67 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
41 |
Percent Of With Osteoporosis |
11 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
55 |
Percent Of With Schizophrenia Other PsychoticDisorders |
5 |
Percent Of With Stroke |
11 |
Average HCC Risk Score Of Beneficiaries |
1.3993 |