National Provider Identifier [NPI]: |
1780679373 |
Last Name Of The Provider |
BELL |
First Name Of The Provider |
RICHARD |
Middle Initial Of The Provider |
C |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
222 S WOODS MILL RD |
Street Address 2 Of The Provider |
SUITE 710N |
City Of The Provider |
CHESTERFIELD |
Zip Code Of The Provider |
630173625 |
State Code Of The Provider |
MO |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Dermatology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
52 |
Number Of Services |
14812 |
Number Of Medicare Beneficiaries |
2127 |
Total Submitted Charge Amount |
771576.17 |
Total Medicare Allowed Amount |
607167.93 |
Total Medicare Payment Amount |
443161.35 |
Total Medicare Standardized Payment Amount |
450409.89 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
0 |
Number Of Drug Services |
0 |
Number Of Medicare Beneficiaries With Drug Services |
0 |
Total Drug Submitted ChargeAmount |
0 |
Total Drug Medicare AllowedAmount |
0 |
Total Drug Medicare PaymentAmount |
0 |
Total Drug Medicare Standardized Payment Amount |
0 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
52 |
Number Of Medical Services |
14812 |
Number Of Medicare Beneficiaries With Medical Services |
2127 |
Total Medical Submitted Charge Amount |
771576.17 |
Total Medical Medicare Allowed Amount |
607167.93 |
Total Medical Medicare Payment Amount |
443161.35 |
Total Medical Medicare Standardized Payment Amount |
450409.89 |
Average Age Of Beneficiaries |
75 |
Number Of Beneficiaries Age Less65 |
131 |
Number Of Beneficiaries Age 65 to 74 |
904 |
Number Of Beneficiaries Age 75 to 84 |
752 |
Number Of Beneficiaries Age Greater 84 |
340 |
Number Of Female Beneficiaries |
1071 |
Number Of Male Beneficiaries |
1056 |
Number Of Non Hispanic White Beneficiaries |
2054 |
Number Of Black or African American Beneficiaries |
24 |
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 |
28 |
Number Of Beneficiaries With Medicare Only Entitlement |
1967 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
160 |
Percent Of With Atrial Fibrillation |
12 |
Percent Of With Alzheimers Disease or Dementia |
8 |
Percent Of With Asthma |
6 |
Percent Of With Cancer |
12 |
Percent Of With Heart Failure |
14 |
Percent Of With Chronic Kidney Disease |
17 |
Percent Of With Chronic Obstructive Pulmonary Disease |
11 |
Percent Of With Depression |
17 |
Percent Of With Diabetes |
24 |
Percent Of With Hyperlipidemia |
56 |
Percent Of With Hypertension |
65 |
Percent Of With Ischemic Heart Disease |
32 |
Percent Of With Osteoporosis |
8 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
38 |
Percent Of With Schizophrenia Other PsychoticDisorders |
2 |
Percent Of With Stroke |
3 |
Average HCC Risk Score Of Beneficiaries |
0.9955 |