National Provider Identifier [NPI]: |
1437455441 |
Last Name Of The Provider |
IYER |
First Name Of The Provider |
SEEMA |
Middle Initial Of The Provider |
K |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
600 MEDICAL DR |
Street Address 2 Of The Provider |
STE 106 |
City Of The Provider |
WENTZVILLE |
Zip Code Of The Provider |
633853426 |
State Code Of The Provider |
MO |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Internal Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
94 |
Number Of Services |
2157 |
Number Of Medicare Beneficiaries |
453 |
Total Submitted Charge Amount |
260239 |
Total Medicare Allowed Amount |
197244.29 |
Total Medicare Payment Amount |
143588.68 |
Total Medicare Standardized Payment Amount |
149001.64 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
10 |
Number Of Drug Services |
77 |
Number Of Medicare Beneficiaries With Drug Services |
73 |
Total Drug Submitted ChargeAmount |
1915 |
Total Drug Medicare AllowedAmount |
1199.88 |
Total Drug Medicare PaymentAmount |
1148.85 |
Total Drug Medicare Standardized Payment Amount |
1148.85 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
84 |
Number Of Medical Services |
2080 |
Number Of Medicare Beneficiaries With Medical Services |
453 |
Total Medical Submitted Charge Amount |
258324 |
Total Medical Medicare Allowed Amount |
196044.41 |
Total Medical Medicare Payment Amount |
142439.83 |
Total Medical Medicare Standardized Payment Amount |
147852.79 |
Average Age Of Beneficiaries |
72 |
Number Of Beneficiaries Age Less65 |
109 |
Number Of Beneficiaries Age 65 to 74 |
136 |
Number Of Beneficiaries Age 75 to 84 |
126 |
Number Of Beneficiaries Age Greater 84 |
82 |
Number Of Female Beneficiaries |
296 |
Number Of Male Beneficiaries |
157 |
Number Of Non Hispanic White Beneficiaries |
408 |
Number Of Black or African American Beneficiaries |
27 |
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 |
292 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
161 |
Percent Of With Atrial Fibrillation |
16 |
Percent Of With Alzheimers Disease or Dementia |
31 |
Percent Of With Asthma |
7 |
Percent Of With Cancer |
9 |
Percent Of With Heart Failure |
26 |
Percent Of With Chronic Kidney Disease |
31 |
Percent Of With Chronic Obstructive Pulmonary Disease |
26 |
Percent Of With Depression |
42 |
Percent Of With Diabetes |
38 |
Percent Of With Hyperlipidemia |
69 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
33 |
Percent Of With Osteoporosis |
15 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
41 |
Percent Of With Schizophrenia Other PsychoticDisorders |
11 |
Percent Of With Stroke |
8 |
Average HCC Risk Score Of Beneficiaries |
1.6497 |