National Provider Identifier [NPI]: |
1700883295 |
Last Name Of The Provider |
STUEVER |
First Name Of The Provider |
KEVIN |
Middle Initial Of The Provider |
J |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
4525 W 6TH ST |
Street Address 2 Of The Provider |
SUITE 100 |
City Of The Provider |
LAWRENCE |
Zip Code Of The Provider |
660492444 |
State Code Of The Provider |
KS |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Internal Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
100 |
Number Of Services |
9313 |
Number Of Medicare Beneficiaries |
811 |
Total Submitted Charge Amount |
1062235 |
Total Medicare Allowed Amount |
242565.63 |
Total Medicare Payment Amount |
199125.41 |
Total Medicare Standardized Payment Amount |
208459.28 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
16 |
Number Of Drug Services |
3772 |
Number Of Medicare Beneficiaries With Drug Services |
188 |
Total Drug Submitted ChargeAmount |
544982 |
Total Drug Medicare AllowedAmount |
65326.59 |
Total Drug Medicare PaymentAmount |
52076.11 |
Total Drug Medicare Standardized Payment Amount |
52076.11 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
84 |
Number Of Medical Services |
5541 |
Number Of Medicare Beneficiaries With Medical Services |
811 |
Total Medical Submitted Charge Amount |
517253 |
Total Medical Medicare Allowed Amount |
177239.04 |
Total Medical Medicare Payment Amount |
147049.3 |
Total Medical Medicare Standardized Payment Amount |
156383.17 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
106 |
Number Of Beneficiaries Age 65 to 74 |
324 |
Number Of Beneficiaries Age 75 to 84 |
237 |
Number Of Beneficiaries Age Greater 84 |
144 |
Number Of Female Beneficiaries |
485 |
Number Of Male Beneficiaries |
326 |
Number Of Non Hispanic White Beneficiaries |
764 |
Number Of Black or African American Beneficiaries |
12 |
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 |
13 |
Number Of Beneficiaries With Medicare Only Entitlement |
679 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
132 |
Percent Of With Atrial Fibrillation |
11 |
Percent Of With Alzheimers Disease or Dementia |
12 |
Percent Of With Asthma |
8 |
Percent Of With Cancer |
12 |
Percent Of With Heart Failure |
16 |
Percent Of With Chronic Kidney Disease |
20 |
Percent Of With Chronic Obstructive Pulmonary Disease |
13 |
Percent Of With Depression |
26 |
Percent Of With Diabetes |
30 |
Percent Of With Hyperlipidemia |
40 |
Percent Of With Hypertension |
65 |
Percent Of With Ischemic Heart Disease |
30 |
Percent Of With Osteoporosis |
7 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
36 |
Percent Of With Schizophrenia Other PsychoticDisorders |
5 |
Percent Of With Stroke |
7 |
Average HCC Risk Score Of Beneficiaries |
1.2153 |