| National Provider Identifier [NPI]: | 1871541292 |
| Last Name Of The Provider | STEWART |
| First Name Of The Provider | KEVIN |
| Middle Initial Of The Provider | P |
| Credentials Of The Provider | M.D. |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 4500 SION FARM |
| Street Address 2 Of The Provider | ISLAND MEDICAL CENTER SUITE 19 |
| City Of The Provider | CHRISTIANSTED |
| Zip Code Of The Provider | 008204493 |
| State Code Of The Provider | VI |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Ophthalmology |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 74 |
| Number Of Services | 9673 |
| Number Of Medicare Beneficiaries | 1582 |
| Total Submitted Charge Amount | 1284657.85 |
| Total Medicare Allowed Amount | 1125187.86 |
| Total Medicare Payment Amount | 804766.99 |
| Total Medicare Standardized Payment Amount | 836185.17 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 1 |
| Number Of Drug Services | 75 |
| Number Of Medicare Beneficiaries With Drug Services | 16 |
| Total Drug Submitted ChargeAmount | 178.43 |
| Total Drug Medicare AllowedAmount | 128.38 |
| Total Drug Medicare PaymentAmount | 99.25 |
| Total Drug Medicare Standardized Payment Amount | 99.25 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 73 |
| Number Of Medical Services | 9598 |
| Number Of Medicare Beneficiaries With Medical Services | 1582 |
| Total Medical Submitted Charge Amount | 1284479.42 |
| Total Medical Medicare Allowed Amount | 1125059.48 |
| Total Medical Medicare Payment Amount | 804667.74 |
| Total Medical Medicare Standardized Payment Amount | 836085.92 |
| Average Age Of Beneficiaries | 74 |
| Number Of Beneficiaries Age Less65 | 89 |
| Number Of Beneficiaries Age 65 to 74 | 821 |
| Number Of Beneficiaries Age 75 to 84 | 555 |
| Number Of Beneficiaries Age Greater 84 | 117 |
| Number Of Female Beneficiaries | 932 |
| Number Of Male Beneficiaries | 650 |
| Number Of Non Hispanic White Beneficiaries | 176 |
| Number Of Black or African American Beneficiaries | 1208 |
| Number Of AsianPacific Islander Beneficiaries | |
| Number Of Hispanic Beneficiaries | 158 |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | |
| Number Of Beneficiaries With Medicare Only Entitlement | 1561 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 21 |
| Percent Of With Atrial Fibrillation | 3 |
| Percent Of With Alzheimers Disease or Dementia | 4 |
| Percent Of With Asthma | 1 |
| Percent Of With Cancer | 9 |
| Percent Of With Heart Failure | 6 |
| Percent Of With Chronic Kidney Disease | 12 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 1 |
| Percent Of With Depression | 2 |
| Percent Of With Diabetes | 47 |
| Percent Of With Hyperlipidemia | 36 |
| Percent Of With Hypertension | 65 |
| Percent Of With Ischemic Heart Disease | 16 |
| Percent Of With Osteoporosis | 3 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 18 |
| Percent Of With Schizophrenia Other PsychoticDisorders | |
| Percent Of With Stroke | 4 |
| Average HCC Risk Score Of Beneficiaries | 0.8411 |