National Provider Identifier [NPI]: |
1902915853 |
Last Name Of The Provider |
REIKER |
First Name Of The Provider |
MARGARET |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
|
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
3009 N BALLAS RD |
Street Address 2 Of The Provider |
SUITE 387C |
City Of The Provider |
SAINT LOUIS |
Zip Code Of The Provider |
631312322 |
State Code Of The Provider |
MO |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Internal Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
43 |
Number Of Services |
1803 |
Number Of Medicare Beneficiaries |
424 |
Total Submitted Charge Amount |
181101 |
Total Medicare Allowed Amount |
119109.16 |
Total Medicare Payment Amount |
94564.57 |
Total Medicare Standardized Payment Amount |
96830.9 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
6 |
Number Of Drug Services |
115 |
Number Of Medicare Beneficiaries With Drug Services |
106 |
Total Drug Submitted ChargeAmount |
5029 |
Total Drug Medicare AllowedAmount |
4633.93 |
Total Drug Medicare PaymentAmount |
4538.31 |
Total Drug Medicare Standardized Payment Amount |
4538.31 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
37 |
Number Of Medical Services |
1688 |
Number Of Medicare Beneficiaries With Medical Services |
424 |
Total Medical Submitted Charge Amount |
176072 |
Total Medical Medicare Allowed Amount |
114475.23 |
Total Medical Medicare Payment Amount |
90026.26 |
Total Medical Medicare Standardized Payment Amount |
92292.59 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
28 |
Number Of Beneficiaries Age 65 to 74 |
217 |
Number Of Beneficiaries Age 75 to 84 |
119 |
Number Of Beneficiaries Age Greater 84 |
60 |
Number Of Female Beneficiaries |
377 |
Number Of Male Beneficiaries |
47 |
Number Of Non Hispanic White Beneficiaries |
367 |
Number Of Black or African American Beneficiaries |
37 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
406 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
18 |
Percent Of With Atrial Fibrillation |
10 |
Percent Of With Alzheimers Disease or Dementia |
7 |
Percent Of With Asthma |
10 |
Percent Of With Cancer |
15 |
Percent Of With Heart Failure |
14 |
Percent Of With Chronic Kidney Disease |
16 |
Percent Of With Chronic Obstructive Pulmonary Disease |
9 |
Percent Of With Depression |
20 |
Percent Of With Diabetes |
19 |
Percent Of With Hyperlipidemia |
39 |
Percent Of With Hypertension |
54 |
Percent Of With Ischemic Heart Disease |
24 |
Percent Of With Osteoporosis |
12 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
35 |
Percent Of With Schizophrenia Other PsychoticDisorders |
4 |
Percent Of With Stroke |
4 |
Average HCC Risk Score Of Beneficiaries |
0.9941 |