National Provider Identifier [NPI]: |
1982708269 |
Last Name Of The Provider |
FLOWERS |
First Name Of The Provider |
STEPHANIE |
Middle Initial Of The Provider |
T |
Credentials Of The Provider |
MD |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
3667 MARLANE DRIVE |
Street Address 2 Of The Provider |
|
City Of The Provider |
GROVE CITY |
Zip Code Of The Provider |
43123 |
State Code Of The Provider |
OH |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Family Practice |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
37 |
Number Of Services |
869 |
Number Of Medicare Beneficiaries |
290 |
Total Submitted Charge Amount |
109384.5 |
Total Medicare Allowed Amount |
71652.14 |
Total Medicare Payment Amount |
46498.14 |
Total Medicare Standardized Payment Amount |
50265.63 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
7 |
Number Of Drug Services |
15 |
Number Of Medicare Beneficiaries With Drug Services |
11 |
Total Drug Submitted ChargeAmount |
304.5 |
Total Drug Medicare AllowedAmount |
143.11 |
Total Drug Medicare PaymentAmount |
116.53 |
Total Drug Medicare Standardized Payment Amount |
116.53 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
30 |
Number Of Medical Services |
854 |
Number Of Medicare Beneficiaries With Medical Services |
290 |
Total Medical Submitted Charge Amount |
109080 |
Total Medical Medicare Allowed Amount |
71509.03 |
Total Medical Medicare Payment Amount |
46381.61 |
Total Medical Medicare Standardized Payment Amount |
50149.1 |
Average Age Of Beneficiaries |
67 |
Number Of Beneficiaries Age Less65 |
75 |
Number Of Beneficiaries Age 65 to 74 |
134 |
Number Of Beneficiaries Age 75 to 84 |
58 |
Number Of Beneficiaries Age Greater 84 |
23 |
Number Of Female Beneficiaries |
212 |
Number Of Male Beneficiaries |
78 |
Number Of Non Hispanic White Beneficiaries |
277 |
Number Of Black or African American Beneficiaries |
|
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 |
228 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
62 |
Percent Of With Atrial Fibrillation |
7 |
Percent Of With Alzheimers Disease or Dementia |
5 |
Percent Of With Asthma |
6 |
Percent Of With Cancer |
7 |
Percent Of With Heart Failure |
12 |
Percent Of With Chronic Kidney Disease |
17 |
Percent Of With Chronic Obstructive Pulmonary Disease |
12 |
Percent Of With Depression |
26 |
Percent Of With Diabetes |
33 |
Percent Of With Hyperlipidemia |
55 |
Percent Of With Hypertension |
61 |
Percent Of With Ischemic Heart Disease |
20 |
Percent Of With Osteoporosis |
7 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
34 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
4 |
Average HCC Risk Score Of Beneficiaries |
0.983 |