National Provider Identifier [NPI]: |
1598764623 |
Last Name Of The Provider |
REESE |
First Name Of The Provider |
JEFFREY |
Middle Initial Of The Provider |
T |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1390 HIGHWAY 61 |
Street Address 2 Of The Provider |
SUITE 3300 |
City Of The Provider |
FESTUS |
Zip Code Of The Provider |
630284137 |
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 |
84 |
Number Of Services |
5723 |
Number Of Medicare Beneficiaries |
1963 |
Total Submitted Charge Amount |
1476436 |
Total Medicare Allowed Amount |
496744.1 |
Total Medicare Payment Amount |
366370.9 |
Total Medicare Standardized Payment Amount |
380628.65 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
3 |
Number Of Drug Services |
458 |
Number Of Medicare Beneficiaries With Drug Services |
116 |
Total Drug Submitted ChargeAmount |
51286 |
Total Drug Medicare AllowedAmount |
23555.25 |
Total Drug Medicare PaymentAmount |
18138.22 |
Total Drug Medicare Standardized Payment Amount |
18138.22 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
81 |
Number Of Medical Services |
5265 |
Number Of Medicare Beneficiaries With Medical Services |
1963 |
Total Medical Submitted Charge Amount |
1425150 |
Total Medical Medicare Allowed Amount |
473188.85 |
Total Medical Medicare Payment Amount |
348232.68 |
Total Medical Medicare Standardized Payment Amount |
362490.43 |
Average Age Of Beneficiaries |
72 |
Number Of Beneficiaries Age Less65 |
396 |
Number Of Beneficiaries Age 65 to 74 |
686 |
Number Of Beneficiaries Age 75 to 84 |
605 |
Number Of Beneficiaries Age Greater 84 |
276 |
Number Of Female Beneficiaries |
993 |
Number Of Male Beneficiaries |
970 |
Number Of Non Hispanic White Beneficiaries |
1928 |
Number Of Black or African American Beneficiaries |
14 |
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 |
1453 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
510 |
Percent Of With Atrial Fibrillation |
23 |
Percent Of With Alzheimers Disease or Dementia |
15 |
Percent Of With Asthma |
9 |
Percent Of With Cancer |
11 |
Percent Of With Heart Failure |
45 |
Percent Of With Chronic Kidney Disease |
40 |
Percent Of With Chronic Obstructive Pulmonary Disease |
34 |
Percent Of With Depression |
34 |
Percent Of With Diabetes |
43 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
75 |
Percent Of With Osteoporosis |
8 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
44 |
Percent Of With Schizophrenia Other PsychoticDisorders |
7 |
Percent Of With Stroke |
10 |
Average HCC Risk Score Of Beneficiaries |
1.7664 |