Medicare Facts for Dr. Heidi Prather, DO


National Provider Identifier [NPI]: 1326066960
Last Name Of The Provider PRATHER
First Name Of The Provider HEIDI
Middle Initial Of The Provider
Credentials Of The Provider DO
Gender Of The Provider F
Entity Type Of The Provider I
Street Address 1 Of The Provider 1 BARNES JEWISH HOSPITAL PLZ
Street Address 2 Of The Provider
City Of The Provider SAINT LOUIS
Zip Code Of The Provider 631101003
State Code Of The Provider MO
Country Code Of The Provider US
Provider Type Of The Provider Physical Medicine and Rehabilitation
Medicare Participation Indicator Y
Number Of HCPCS 29
Number Of Services 2126
Number Of Medicare Beneficiaries 633
Total Submitted Charge Amount 588719
Total Medicare Allowed Amount 142980.54
Total Medicare Payment Amount 103858.49
Total Medicare Standardized Payment Amount 99903.1
Drug Suppress Indicator
Number Of HCPCS Associated With Drug Services 2
Number Of Drug Services 497
Number Of Medicare Beneficiaries With Drug Services 44
Total Drug Submitted ChargeAmount 10264
Total Drug Medicare AllowedAmount 3090.31
Total Drug Medicare PaymentAmount 2408.83
Total Drug Medicare Standardized Payment Amount 2408.83
Medical SuppressIndicator
Number Of HCPCS Associated With MedicalServices 27
Number Of Medical Services 1629
Number Of Medicare Beneficiaries With Medical Services 633
Total Medical Submitted Charge Amount 578455
Total Medical Medicare Allowed Amount 139890.23
Total Medical Medicare Payment Amount 101449.66
Total Medical Medicare Standardized Payment Amount 97494.27
Average Age Of Beneficiaries 70
Number Of Beneficiaries Age Less65 130
Number Of Beneficiaries Age 65 to 74 272
Number Of Beneficiaries Age 75 to 84 172
Number Of Beneficiaries Age Greater 84 59
Number Of Female Beneficiaries 440
Number Of Male Beneficiaries 193
Number Of Non Hispanic White Beneficiaries 536
Number Of Black or African American Beneficiaries 70
Number Of AsianPacific Islander Beneficiaries 11
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 560
Number Of Beneficiaries With Medicare Medicaid Entitlement 73
Percent Of With Atrial Fibrillation 10
Percent Of With Alzheimers Disease or Dementia 4
Percent Of With Asthma 7
Percent Of With Cancer 10
Percent Of With Heart Failure 15
Percent Of With Chronic Kidney Disease 18
Percent Of With Chronic Obstructive Pulmonary Disease 9
Percent Of With Depression 28
Percent Of With Diabetes 24
Percent Of With Hyperlipidemia 51
Percent Of With Hypertension 62
Percent Of With Ischemic Heart Disease 31
Percent Of With Osteoporosis 12
Percent Of With Rheumatoid Arthritis Osteoarthritis 75
Percent Of With Schizophrenia Other PsychoticDisorders 2
Percent Of With Stroke 4
Average HCC Risk Score Of Beneficiaries 1.1459

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