National Provider Identifier [NPI]: |
1982999314 |
Last Name Of The Provider |
BEEMAN |
First Name Of The Provider |
STEPHEN |
Middle Initial Of The Provider |
K |
Credentials Of The Provider |
M.D., M.P.H., FACS |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
5681 HIGHWAY 363 |
Street Address 2 Of The Provider |
|
City Of The Provider |
MANTACHIE |
Zip Code Of The Provider |
388557632 |
State Code Of The Provider |
MS |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
General Surgery |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
128 |
Number Of Services |
7371 |
Number Of Medicare Beneficiaries |
531 |
Total Submitted Charge Amount |
704262.66 |
Total Medicare Allowed Amount |
242131.4 |
Total Medicare Payment Amount |
181037.23 |
Total Medicare Standardized Payment Amount |
202062.11 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
15 |
Number Of Drug Services |
2235 |
Number Of Medicare Beneficiaries With Drug Services |
183 |
Total Drug Submitted ChargeAmount |
48594.25 |
Total Drug Medicare AllowedAmount |
29113.64 |
Total Drug Medicare PaymentAmount |
22715.52 |
Total Drug Medicare Standardized Payment Amount |
22715.52 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
113 |
Number Of Medical Services |
5136 |
Number Of Medicare Beneficiaries With Medical Services |
531 |
Total Medical Submitted Charge Amount |
655668.41 |
Total Medical Medicare Allowed Amount |
213017.76 |
Total Medical Medicare Payment Amount |
158321.71 |
Total Medical Medicare Standardized Payment Amount |
179346.59 |
Average Age Of Beneficiaries |
72 |
Number Of Beneficiaries Age Less65 |
106 |
Number Of Beneficiaries Age 65 to 74 |
194 |
Number Of Beneficiaries Age 75 to 84 |
151 |
Number Of Beneficiaries Age Greater 84 |
80 |
Number Of Female Beneficiaries |
300 |
Number Of Male Beneficiaries |
231 |
Number Of Non Hispanic White Beneficiaries |
419 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
346 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
185 |
Percent Of With Atrial Fibrillation |
16 |
Percent Of With Alzheimers Disease or Dementia |
27 |
Percent Of With Asthma |
5 |
Percent Of With Cancer |
11 |
Percent Of With Heart Failure |
28 |
Percent Of With Chronic Kidney Disease |
28 |
Percent Of With Chronic Obstructive Pulmonary Disease |
24 |
Percent Of With Depression |
23 |
Percent Of With Diabetes |
39 |
Percent Of With Hyperlipidemia |
53 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
41 |
Percent Of With Osteoporosis |
9 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
40 |
Percent Of With Schizophrenia Other PsychoticDisorders |
6 |
Percent Of With Stroke |
8 |
Average HCC Risk Score Of Beneficiaries |
1.3869 |