National Provider Identifier [NPI]: |
1689637092 |
Last Name Of The Provider |
STECKLEY |
First Name Of The Provider |
RICHARD |
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 |
9350 E 35TH ST N |
Street Address 2 Of The Provider |
STE 101 |
City Of The Provider |
WICHITA |
Zip Code Of The Provider |
672262019 |
State Code Of The Provider |
KS |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Cardiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
98 |
Number Of Services |
8923 |
Number Of Medicare Beneficiaries |
2187 |
Total Submitted Charge Amount |
2003812 |
Total Medicare Allowed Amount |
814260.8 |
Total Medicare Payment Amount |
610792.75 |
Total Medicare Standardized Payment Amount |
629556.7 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
1 |
Number Of Drug Services |
304 |
Number Of Medicare Beneficiaries With Drug Services |
75 |
Total Drug Submitted ChargeAmount |
30400 |
Total Drug Medicare AllowedAmount |
16102.03 |
Total Drug Medicare PaymentAmount |
12623.91 |
Total Drug Medicare Standardized Payment Amount |
12623.91 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
97 |
Number Of Medical Services |
8619 |
Number Of Medicare Beneficiaries With Medical Services |
2187 |
Total Medical Submitted Charge Amount |
1973412 |
Total Medical Medicare Allowed Amount |
798158.77 |
Total Medical Medicare Payment Amount |
598168.84 |
Total Medical Medicare Standardized Payment Amount |
616932.79 |
Average Age Of Beneficiaries |
77 |
Number Of Beneficiaries Age Less65 |
142 |
Number Of Beneficiaries Age 65 to 74 |
710 |
Number Of Beneficiaries Age 75 to 84 |
879 |
Number Of Beneficiaries Age Greater 84 |
456 |
Number Of Female Beneficiaries |
993 |
Number Of Male Beneficiaries |
1194 |
Number Of Non Hispanic White Beneficiaries |
2093 |
Number Of Black or African American Beneficiaries |
38 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
33 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
1999 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
188 |
Percent Of With Atrial Fibrillation |
29 |
Percent Of With Alzheimers Disease or Dementia |
13 |
Percent Of With Asthma |
6 |
Percent Of With Cancer |
11 |
Percent Of With Heart Failure |
39 |
Percent Of With Chronic Kidney Disease |
34 |
Percent Of With Chronic Obstructive Pulmonary Disease |
20 |
Percent Of With Depression |
20 |
Percent Of With Diabetes |
36 |
Percent Of With Hyperlipidemia |
68 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
73 |
Percent Of With Osteoporosis |
6 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
33 |
Percent Of With Schizophrenia Other PsychoticDisorders |
4 |
Percent Of With Stroke |
7 |
Average HCC Risk Score Of Beneficiaries |
1.3862 |