National Provider Identifier [NPI]: |
1750317533 |
Last Name Of The Provider |
KUEHN |
First Name Of The Provider |
STEPHEN |
Middle Initial Of The Provider |
C |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
3800 S NATIONAL AVE |
Street Address 2 Of The Provider |
SUITE 400 |
City Of The Provider |
SPRINGFIELD |
Zip Code Of The Provider |
658075209 |
State Code Of The Provider |
MO |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Cardiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
122 |
Number Of Services |
7034 |
Number Of Medicare Beneficiaries |
3442 |
Total Submitted Charge Amount |
1182849.1 |
Total Medicare Allowed Amount |
488186.36 |
Total Medicare Payment Amount |
370774.7 |
Total Medicare Standardized Payment Amount |
393864.4 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
22 |
Number Of Medicare Beneficiaries With Drug Services |
12 |
Total Drug Submitted ChargeAmount |
2836 |
Total Drug Medicare AllowedAmount |
1148.24 |
Total Drug Medicare PaymentAmount |
907.28 |
Total Drug Medicare Standardized Payment Amount |
907.28 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
120 |
Number Of Medical Services |
7012 |
Number Of Medicare Beneficiaries With Medical Services |
3442 |
Total Medical Submitted Charge Amount |
1180013.1 |
Total Medical Medicare Allowed Amount |
487038.12 |
Total Medical Medicare Payment Amount |
369867.42 |
Total Medical Medicare Standardized Payment Amount |
392957.12 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
545 |
Number Of Beneficiaries Age 65 to 74 |
1391 |
Number Of Beneficiaries Age 75 to 84 |
1060 |
Number Of Beneficiaries Age Greater 84 |
446 |
Number Of Female Beneficiaries |
1761 |
Number Of Male Beneficiaries |
1681 |
Number Of Non Hispanic White Beneficiaries |
3322 |
Number Of Black or African American Beneficiaries |
37 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
30 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
25 |
Number Of Beneficiaries With Medicare Only Entitlement |
2834 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
608 |
Percent Of With Atrial Fibrillation |
25 |
Percent Of With Alzheimers Disease or Dementia |
10 |
Percent Of With Asthma |
8 |
Percent Of With Cancer |
11 |
Percent Of With Heart Failure |
33 |
Percent Of With Chronic Kidney Disease |
33 |
Percent Of With Chronic Obstructive Pulmonary Disease |
25 |
Percent Of With Depression |
25 |
Percent Of With Diabetes |
37 |
Percent Of With Hyperlipidemia |
57 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
55 |
Percent Of With Osteoporosis |
8 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
38 |
Percent Of With Schizophrenia Other PsychoticDisorders |
5 |
Percent Of With Stroke |
11 |
Average HCC Risk Score Of Beneficiaries |
1.4476 |