National Provider Identifier [NPI]: |
1255311106 |
Last Name Of The Provider |
STEELE |
First Name Of The Provider |
PHILLIP |
Middle Initial Of The Provider |
M |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
3150 N MONTANA AVE |
Street Address 2 Of The Provider |
SUITE A |
City Of The Provider |
HELENA |
Zip Code Of The Provider |
596027804 |
State Code Of The Provider |
MT |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Family Practice |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
61 |
Number Of Services |
2227 |
Number Of Medicare Beneficiaries |
199 |
Total Submitted Charge Amount |
229541.8 |
Total Medicare Allowed Amount |
84446.08 |
Total Medicare Payment Amount |
61757.15 |
Total Medicare Standardized Payment Amount |
62686.08 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
4 |
Number Of Drug Services |
1011 |
Number Of Medicare Beneficiaries With Drug Services |
123 |
Total Drug Submitted ChargeAmount |
18731.8 |
Total Drug Medicare AllowedAmount |
12684.46 |
Total Drug Medicare PaymentAmount |
9874.39 |
Total Drug Medicare Standardized Payment Amount |
9874.39 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
57 |
Number Of Medical Services |
1216 |
Number Of Medicare Beneficiaries With Medical Services |
199 |
Total Medical Submitted Charge Amount |
210810 |
Total Medical Medicare Allowed Amount |
71761.62 |
Total Medical Medicare Payment Amount |
51882.76 |
Total Medical Medicare Standardized Payment Amount |
52811.69 |
Average Age Of Beneficiaries |
69 |
Number Of Beneficiaries Age Less65 |
33 |
Number Of Beneficiaries Age 65 to 74 |
111 |
Number Of Beneficiaries Age 75 to 84 |
37 |
Number Of Beneficiaries Age Greater 84 |
18 |
Number Of Female Beneficiaries |
124 |
Number Of Male Beneficiaries |
75 |
Number Of Non Hispanic White Beneficiaries |
|
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
172 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
27 |
Percent Of With Atrial Fibrillation |
8 |
Percent Of With Alzheimers Disease or Dementia |
|
Percent Of With Asthma |
9 |
Percent Of With Cancer |
6 |
Percent Of With Heart Failure |
10 |
Percent Of With Chronic Kidney Disease |
14 |
Percent Of With Chronic Obstructive Pulmonary Disease |
11 |
Percent Of With Depression |
30 |
Percent Of With Diabetes |
15 |
Percent Of With Hyperlipidemia |
29 |
Percent Of With Hypertension |
38 |
Percent Of With Ischemic Heart Disease |
24 |
Percent Of With Osteoporosis |
10 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
66 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
|
Average HCC Risk Score Of Beneficiaries |
1.0632 |