National Provider Identifier [NPI]: |
1891870655 |
Last Name Of The Provider |
STENGEL |
First Name Of The Provider |
SCOTT |
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 |
1112 WEST DIXIE AVENUE |
Street Address 2 Of The Provider |
|
City Of The Provider |
LEESBURG |
Zip Code Of The Provider |
34748 |
State Code Of The Provider |
FL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Interventional Pain Management |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
33 |
Number Of Services |
15189 |
Number Of Medicare Beneficiaries |
595 |
Total Submitted Charge Amount |
2011658 |
Total Medicare Allowed Amount |
707724.94 |
Total Medicare Payment Amount |
544640.11 |
Total Medicare Standardized Payment Amount |
472239.22 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
3 |
Number Of Drug Services |
10363 |
Number Of Medicare Beneficiaries With Drug Services |
508 |
Total Drug Submitted ChargeAmount |
124780 |
Total Drug Medicare AllowedAmount |
77800.06 |
Total Drug Medicare PaymentAmount |
60890.92 |
Total Drug Medicare Standardized Payment Amount |
60890.92 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
30 |
Number Of Medical Services |
4826 |
Number Of Medicare Beneficiaries With Medical Services |
595 |
Total Medical Submitted Charge Amount |
1886878 |
Total Medical Medicare Allowed Amount |
629924.88 |
Total Medical Medicare Payment Amount |
483749.19 |
Total Medical Medicare Standardized Payment Amount |
411348.3 |
Average Age Of Beneficiaries |
76 |
Number Of Beneficiaries Age Less65 |
22 |
Number Of Beneficiaries Age 65 to 74 |
242 |
Number Of Beneficiaries Age 75 to 84 |
266 |
Number Of Beneficiaries Age Greater 84 |
65 |
Number Of Female Beneficiaries |
309 |
Number Of Male Beneficiaries |
286 |
Number Of Non Hispanic White Beneficiaries |
567 |
Number Of Black or African American Beneficiaries |
13 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
574 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
21 |
Percent Of With Atrial Fibrillation |
14 |
Percent Of With Alzheimers Disease or Dementia |
13 |
Percent Of With Asthma |
6 |
Percent Of With Cancer |
11 |
Percent Of With Heart Failure |
20 |
Percent Of With Chronic Kidney Disease |
24 |
Percent Of With Chronic Obstructive Pulmonary Disease |
20 |
Percent Of With Depression |
24 |
Percent Of With Diabetes |
30 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
53 |
Percent Of With Osteoporosis |
8 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
64 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
6 |
Average HCC Risk Score Of Beneficiaries |
1.3128 |