National Provider Identifier [NPI]: |
1265417034 |
Last Name Of The Provider |
SCHEPERLE |
First Name Of The Provider |
MARK |
Middle Initial Of The Provider |
A |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1034 S BRENTWOOD BLVD |
Street Address 2 Of The Provider |
STE 880 |
City Of The Provider |
SAINT LOUIS |
Zip Code Of The Provider |
631171223 |
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 |
68 |
Number Of Services |
2869 |
Number Of Medicare Beneficiaries |
909 |
Total Submitted Charge Amount |
415954.75 |
Total Medicare Allowed Amount |
245175.05 |
Total Medicare Payment Amount |
178079.64 |
Total Medicare Standardized Payment Amount |
182602.52 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
7 |
Number Of Drug Services |
161 |
Number Of Medicare Beneficiaries With Drug Services |
135 |
Total Drug Submitted ChargeAmount |
4635 |
Total Drug Medicare AllowedAmount |
2225.39 |
Total Drug Medicare PaymentAmount |
2128.93 |
Total Drug Medicare Standardized Payment Amount |
2128.93 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
61 |
Number Of Medical Services |
2708 |
Number Of Medicare Beneficiaries With Medical Services |
909 |
Total Medical Submitted Charge Amount |
411319.75 |
Total Medical Medicare Allowed Amount |
242949.66 |
Total Medical Medicare Payment Amount |
175950.71 |
Total Medical Medicare Standardized Payment Amount |
180473.59 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
197 |
Number Of Beneficiaries Age 65 to 74 |
287 |
Number Of Beneficiaries Age 75 to 84 |
203 |
Number Of Beneficiaries Age Greater 84 |
222 |
Number Of Female Beneficiaries |
513 |
Number Of Male Beneficiaries |
396 |
Number Of Non Hispanic White Beneficiaries |
800 |
Number Of Black or African American Beneficiaries |
92 |
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 |
737 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
172 |
Percent Of With Atrial Fibrillation |
17 |
Percent Of With Alzheimers Disease or Dementia |
21 |
Percent Of With Asthma |
12 |
Percent Of With Cancer |
15 |
Percent Of With Heart Failure |
30 |
Percent Of With Chronic Kidney Disease |
38 |
Percent Of With Chronic Obstructive Pulmonary Disease |
22 |
Percent Of With Depression |
42 |
Percent Of With Diabetes |
30 |
Percent Of With Hyperlipidemia |
61 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
47 |
Percent Of With Osteoporosis |
15 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
49 |
Percent Of With Schizophrenia Other PsychoticDisorders |
6 |
Percent Of With Stroke |
11 |
Average HCC Risk Score Of Beneficiaries |
1.7683 |