National Provider Identifier [NPI]: |
1841293537 |
Last Name Of The Provider |
STEWART |
First Name Of The Provider |
GARRY |
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 |
1545 HOGAN LANE |
Street Address 2 Of The Provider |
|
City Of The Provider |
CONWAY |
Zip Code Of The Provider |
720341349 |
State Code Of The Provider |
AR |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Family Practice |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
58 |
Number Of Services |
3591 |
Number Of Medicare Beneficiaries |
387 |
Total Submitted Charge Amount |
269956.54 |
Total Medicare Allowed Amount |
269076.13 |
Total Medicare Payment Amount |
198942.58 |
Total Medicare Standardized Payment Amount |
215237.73 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
73 |
Number Of Medicare Beneficiaries With Drug Services |
71 |
Total Drug Submitted ChargeAmount |
1118.9 |
Total Drug Medicare AllowedAmount |
1116.48 |
Total Drug Medicare PaymentAmount |
1094.01 |
Total Drug Medicare Standardized Payment Amount |
1094.01 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
56 |
Number Of Medical Services |
3518 |
Number Of Medicare Beneficiaries With Medical Services |
387 |
Total Medical Submitted Charge Amount |
268837.64 |
Total Medical Medicare Allowed Amount |
267959.65 |
Total Medical Medicare Payment Amount |
197848.57 |
Total Medical Medicare Standardized Payment Amount |
214143.72 |
Average Age Of Beneficiaries |
68 |
Number Of Beneficiaries Age Less65 |
124 |
Number Of Beneficiaries Age 65 to 74 |
136 |
Number Of Beneficiaries Age 75 to 84 |
89 |
Number Of Beneficiaries Age Greater 84 |
38 |
Number Of Female Beneficiaries |
214 |
Number Of Male Beneficiaries |
173 |
Number Of Non Hispanic White Beneficiaries |
358 |
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 |
237 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
150 |
Percent Of With Atrial Fibrillation |
14 |
Percent Of With Alzheimers Disease or Dementia |
19 |
Percent Of With Asthma |
9 |
Percent Of With Cancer |
7 |
Percent Of With Heart Failure |
32 |
Percent Of With Chronic Kidney Disease |
21 |
Percent Of With Chronic Obstructive Pulmonary Disease |
17 |
Percent Of With Depression |
20 |
Percent Of With Diabetes |
25 |
Percent Of With Hyperlipidemia |
35 |
Percent Of With Hypertension |
61 |
Percent Of With Ischemic Heart Disease |
35 |
Percent Of With Osteoporosis |
15 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
27 |
Percent Of With Schizophrenia Other PsychoticDisorders |
6 |
Percent Of With Stroke |
7 |
Average HCC Risk Score Of Beneficiaries |
1.3613 |