Medicare Facts for Dr. Maria N. Stack, MD


National Provider Identifier [NPI]: 1861490104
Last Name Of The Provider STACK
First Name Of The Provider MARIA
Middle Initial Of The Provider N
Credentials Of The Provider M.D.
Gender Of The Provider F
Entity Type Of The Provider I
Street Address 1 Of The Provider 680 S MAIN ST
Street Address 2 Of The Provider SUITE 205
City Of The Provider CHESHIRE
Zip Code Of The Provider 064103181
State Code Of The Provider CT
Country Code Of The Provider US
Provider Type Of The Provider Internal Medicine
Medicare Participation Indicator Y
Number Of HCPCS 37
Number Of Services 1807
Number Of Medicare Beneficiaries 360
Total Submitted Charge Amount 165354
Total Medicare Allowed Amount 119976.5
Total Medicare Payment Amount 94313.2
Total Medicare Standardized Payment Amount 88292.81
Drug Suppress Indicator
Number Of HCPCS Associated With Drug Services 6
Number Of Drug Services 147
Number Of Medicare Beneficiaries With Drug Services 130
Total Drug Submitted ChargeAmount 7235
Total Drug Medicare AllowedAmount 2953.5
Total Drug Medicare PaymentAmount 2881.36
Total Drug Medicare Standardized Payment Amount 2881.36
Medical SuppressIndicator
Number Of HCPCS Associated With MedicalServices 31
Number Of Medical Services 1660
Number Of Medicare Beneficiaries With Medical Services 360
Total Medical Submitted Charge Amount 158119
Total Medical Medicare Allowed Amount 117023
Total Medical Medicare Payment Amount 91431.84
Total Medical Medicare Standardized Payment Amount 85411.45
Average Age Of Beneficiaries 76
Number Of Beneficiaries Age Less65 29
Number Of Beneficiaries Age 65 to 74 137
Number Of Beneficiaries Age 75 to 84 107
Number Of Beneficiaries Age Greater 84 87
Number Of Female Beneficiaries 261
Number Of Male Beneficiaries 99
Number Of Non Hispanic White Beneficiaries 342
Number Of Black or African American Beneficiaries
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 305
Number Of Beneficiaries With Medicare Medicaid Entitlement 55
Percent Of With Atrial Fibrillation 13
Percent Of With Alzheimers Disease or Dementia 13
Percent Of With Asthma 6
Percent Of With Cancer 11
Percent Of With Heart Failure 16
Percent Of With Chronic Kidney Disease 24
Percent Of With Chronic Obstructive Pulmonary Disease 8
Percent Of With Depression 19
Percent Of With Diabetes 23
Percent Of With Hyperlipidemia 52
Percent Of With Hypertension 61
Percent Of With Ischemic Heart Disease 28
Percent Of With Osteoporosis 7
Percent Of With Rheumatoid Arthritis Osteoarthritis 32
Percent Of With Schizophrenia Other PsychoticDisorders
Percent Of With Stroke 4
Average HCC Risk Score Of Beneficiaries 1.0493

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