National Provider Identifier [NPI]: |
1508028523 |
Last Name Of The Provider |
STEWART |
First Name Of The Provider |
PAUL |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
|
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
6565 WEST LOOP S |
Street Address 2 Of The Provider |
SUITE 650 |
City Of The Provider |
BELLAIRE |
Zip Code Of The Provider |
774013500 |
State Code Of The Provider |
TX |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Ophthalmology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
34 |
Number Of Services |
4612 |
Number Of Medicare Beneficiaries |
513 |
Total Submitted Charge Amount |
2042560 |
Total Medicare Allowed Amount |
793858.31 |
Total Medicare Payment Amount |
607169.61 |
Total Medicare Standardized Payment Amount |
606563.14 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
5 |
Number Of Drug Services |
1426 |
Number Of Medicare Beneficiaries With Drug Services |
116 |
Total Drug Submitted ChargeAmount |
636080 |
Total Drug Medicare AllowedAmount |
395379 |
Total Drug Medicare PaymentAmount |
309121.01 |
Total Drug Medicare Standardized Payment Amount |
309121.01 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
29 |
Number Of Medical Services |
3186 |
Number Of Medicare Beneficiaries With Medical Services |
513 |
Total Medical Submitted Charge Amount |
1406480 |
Total Medical Medicare Allowed Amount |
398479.31 |
Total Medical Medicare Payment Amount |
298048.6 |
Total Medical Medicare Standardized Payment Amount |
297442.13 |
Average Age Of Beneficiaries |
75 |
Number Of Beneficiaries Age Less65 |
42 |
Number Of Beneficiaries Age 65 to 74 |
224 |
Number Of Beneficiaries Age 75 to 84 |
153 |
Number Of Beneficiaries Age Greater 84 |
94 |
Number Of Female Beneficiaries |
297 |
Number Of Male Beneficiaries |
216 |
Number Of Non Hispanic White Beneficiaries |
383 |
Number Of Black or African American Beneficiaries |
40 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
77 |
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
438 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
75 |
Percent Of With Atrial Fibrillation |
9 |
Percent Of With Alzheimers Disease or Dementia |
11 |
Percent Of With Asthma |
5 |
Percent Of With Cancer |
7 |
Percent Of With Heart Failure |
22 |
Percent Of With Chronic Kidney Disease |
27 |
Percent Of With Chronic Obstructive Pulmonary Disease |
12 |
Percent Of With Depression |
15 |
Percent Of With Diabetes |
41 |
Percent Of With Hyperlipidemia |
54 |
Percent Of With Hypertension |
73 |
Percent Of With Ischemic Heart Disease |
40 |
Percent Of With Osteoporosis |
6 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
36 |
Percent Of With Schizophrenia Other PsychoticDisorders |
2 |
Percent Of With Stroke |
7 |
Average HCC Risk Score Of Beneficiaries |
1.4752 |