Medicare Facts for Dr. Stephen A. Sems, MD


National Provider Identifier [NPI]: 1861471260
Last Name Of The Provider SEMS
First Name Of The Provider STEPHEN
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 200 1ST ST SW
Street Address 2 Of The Provider
City Of The Provider ROCHESTER
Zip Code Of The Provider 559050001
State Code Of The Provider MN
Country Code Of The Provider US
Provider Type Of The Provider Orthopedic Surgery
Medicare Participation Indicator Y
Number Of HCPCS 64
Number Of Services 326
Number Of Medicare Beneficiaries 181
Total Submitted Charge Amount 157416.35
Total Medicare Allowed Amount 108256.56
Total Medicare Payment Amount 83078.74
Total Medicare Standardized Payment Amount 94434.05
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 64
Number Of Medical Services 326
Number Of Medicare Beneficiaries With Medical Services 181
Total Medical Submitted Charge Amount 157416.35
Total Medical Medicare Allowed Amount 108256.56
Total Medical Medicare Payment Amount 83078.74
Total Medical Medicare Standardized Payment Amount 94434.05
Average Age Of Beneficiaries 72
Number Of Beneficiaries Age Less65 44
Number Of Beneficiaries Age 65 to 74 50
Number Of Beneficiaries Age 75 to 84 51
Number Of Beneficiaries Age Greater 84 36
Number Of Female Beneficiaries 117
Number Of Male Beneficiaries 64
Number Of Non Hispanic White Beneficiaries 170
Number Of Black or African American Beneficiaries 0
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 136
Number Of Beneficiaries With Medicare Medicaid Entitlement 45
Percent Of With Atrial Fibrillation 13
Percent Of With Alzheimers Disease or Dementia 15
Percent Of With Asthma 8
Percent Of With Cancer 12
Percent Of With Heart Failure 24
Percent Of With Chronic Kidney Disease 36
Percent Of With Chronic Obstructive Pulmonary Disease 19
Percent Of With Depression 34
Percent Of With Diabetes 30
Percent Of With Hyperlipidemia 57
Percent Of With Hypertension 69
Percent Of With Ischemic Heart Disease 40
Percent Of With Osteoporosis 32
Percent Of With Rheumatoid Arthritis Osteoarthritis 56
Percent Of With Schizophrenia Other PsychoticDisorders 10
Percent Of With Stroke
Average HCC Risk Score Of Beneficiaries 1.7156

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