National Provider Identifier [NPI]: |
1417940081 |
Last Name Of The Provider |
STANGLER |
First Name Of The Provider |
RICHARD |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1136 H AVE NE |
Street Address 2 Of The Provider |
|
City Of The Provider |
CEDAR RAPIDS |
Zip Code Of The Provider |
524024624 |
State Code Of The Provider |
IA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Ophthalmology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
77 |
Number Of Services |
4580 |
Number Of Medicare Beneficiaries |
701 |
Total Submitted Charge Amount |
1053208 |
Total Medicare Allowed Amount |
330746.68 |
Total Medicare Payment Amount |
240153.02 |
Total Medicare Standardized Payment Amount |
243427.34 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
819 |
Number Of Medicare Beneficiaries With Drug Services |
13 |
Total Drug Submitted ChargeAmount |
8154 |
Total Drug Medicare AllowedAmount |
4478.16 |
Total Drug Medicare PaymentAmount |
3337.89 |
Total Drug Medicare Standardized Payment Amount |
3337.89 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
75 |
Number Of Medical Services |
3761 |
Number Of Medicare Beneficiaries With Medical Services |
701 |
Total Medical Submitted Charge Amount |
1045054 |
Total Medical Medicare Allowed Amount |
326268.52 |
Total Medical Medicare Payment Amount |
236815.13 |
Total Medical Medicare Standardized Payment Amount |
240089.45 |
Average Age Of Beneficiaries |
77 |
Number Of Beneficiaries Age Less65 |
37 |
Number Of Beneficiaries Age 65 to 74 |
251 |
Number Of Beneficiaries Age 75 to 84 |
238 |
Number Of Beneficiaries Age Greater 84 |
175 |
Number Of Female Beneficiaries |
444 |
Number Of Male Beneficiaries |
257 |
Number Of Non Hispanic White Beneficiaries |
682 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
0 |
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 |
638 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
63 |
Percent Of With Atrial Fibrillation |
12 |
Percent Of With Alzheimers Disease or Dementia |
7 |
Percent Of With Asthma |
5 |
Percent Of With Cancer |
8 |
Percent Of With Heart Failure |
15 |
Percent Of With Chronic Kidney Disease |
19 |
Percent Of With Chronic Obstructive Pulmonary Disease |
13 |
Percent Of With Depression |
18 |
Percent Of With Diabetes |
34 |
Percent Of With Hyperlipidemia |
58 |
Percent Of With Hypertension |
69 |
Percent Of With Ischemic Heart Disease |
29 |
Percent Of With Osteoporosis |
9 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
39 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
3 |
Average HCC Risk Score Of Beneficiaries |
1.1041 |