National Provider Identifier [NPI]: |
1326136714 |
Last Name Of The Provider |
GREER |
First Name Of The Provider |
STEVEN |
Middle Initial Of The Provider |
A |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
435 PHALEN BLVD - MS 51103H |
Street Address 2 Of The Provider |
HEALTHPARTNERS SPECIALTY CENTER |
City Of The Provider |
ST. PAUL |
Zip Code Of The Provider |
551305302 |
State Code Of The Provider |
MN |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Sports Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
43 |
Number Of Services |
1264 |
Number Of Medicare Beneficiaries |
146 |
Total Submitted Charge Amount |
113604 |
Total Medicare Allowed Amount |
40359.37 |
Total Medicare Payment Amount |
29377.13 |
Total Medicare Standardized Payment Amount |
29677.05 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
5 |
Number Of Drug Services |
813 |
Number Of Medicare Beneficiaries With Drug Services |
59 |
Total Drug Submitted ChargeAmount |
24121 |
Total Drug Medicare AllowedAmount |
9439.54 |
Total Drug Medicare PaymentAmount |
7236.09 |
Total Drug Medicare Standardized Payment Amount |
7236.09 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
38 |
Number Of Medical Services |
451 |
Number Of Medicare Beneficiaries With Medical Services |
146 |
Total Medical Submitted Charge Amount |
89483 |
Total Medical Medicare Allowed Amount |
30919.83 |
Total Medical Medicare Payment Amount |
22141.04 |
Total Medical Medicare Standardized Payment Amount |
22440.96 |
Average Age Of Beneficiaries |
66 |
Number Of Beneficiaries Age Less65 |
62 |
Number Of Beneficiaries Age 65 to 74 |
42 |
Number Of Beneficiaries Age 75 to 84 |
29 |
Number Of Beneficiaries Age Greater 84 |
13 |
Number Of Female Beneficiaries |
82 |
Number Of Male Beneficiaries |
64 |
Number Of Non Hispanic White Beneficiaries |
106 |
Number Of Black or African American Beneficiaries |
22 |
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 |
74 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
72 |
Percent Of With Atrial Fibrillation |
9 |
Percent Of With Alzheimers Disease or Dementia |
8 |
Percent Of With Asthma |
9 |
Percent Of With Cancer |
|
Percent Of With Heart Failure |
10 |
Percent Of With Chronic Kidney Disease |
24 |
Percent Of With Chronic Obstructive Pulmonary Disease |
9 |
Percent Of With Depression |
33 |
Percent Of With Diabetes |
27 |
Percent Of With Hyperlipidemia |
32 |
Percent Of With Hypertension |
52 |
Percent Of With Ischemic Heart Disease |
21 |
Percent Of With Osteoporosis |
|
Percent Of With Rheumatoid Arthritis Osteoarthritis |
61 |
Percent Of With Schizophrenia Other PsychoticDisorders |
10 |
Percent Of With Stroke |
|
Average HCC Risk Score Of Beneficiaries |
1.2472 |