| National Provider Identifier [NPI]: | 1356329593 |
| Last Name Of The Provider | HOMMEYER |
| First Name Of The Provider | STEVEN |
| Middle Initial Of The Provider | C |
| Credentials Of The Provider | MD |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 166 4TH ST E |
| Street Address 2 Of The Provider | |
| City Of The Provider | SAINT PAUL |
| Zip Code Of The Provider | 551011421 |
| State Code Of The Provider | MN |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Diagnostic Radiology |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 184 |
| Number Of Services | 7282 |
| Number Of Medicare Beneficiaries | 3857 |
| Total Submitted Charge Amount | 490257.63 |
| Total Medicare Allowed Amount | 161268.11 |
| Total Medicare Payment Amount | 125039.6 |
| Total Medicare Standardized Payment Amount | 130432.79 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 2 |
| Number Of Drug Services | 1205 |
| Number Of Medicare Beneficiaries With Drug Services | 12 |
| Total Drug Submitted ChargeAmount | 2097.5 |
| Total Drug Medicare AllowedAmount | 219.47 |
| Total Drug Medicare PaymentAmount | 172.06 |
| Total Drug Medicare Standardized Payment Amount | 172.06 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 182 |
| Number Of Medical Services | 6077 |
| Number Of Medicare Beneficiaries With Medical Services | 3857 |
| Total Medical Submitted Charge Amount | 488160.13 |
| Total Medical Medicare Allowed Amount | 161048.64 |
| Total Medical Medicare Payment Amount | 124867.54 |
| Total Medical Medicare Standardized Payment Amount | 130260.73 |
| Average Age Of Beneficiaries | 73 |
| Number Of Beneficiaries Age Less65 | 805 |
| Number Of Beneficiaries Age 65 to 74 | 1189 |
| Number Of Beneficiaries Age 75 to 84 | 1088 |
| Number Of Beneficiaries Age Greater 84 | 775 |
| Number Of Female Beneficiaries | 2376 |
| Number Of Male Beneficiaries | 1481 |
| Number Of Non Hispanic White Beneficiaries | 3472 |
| Number Of Black or African American Beneficiaries | 195 |
| Number Of AsianPacific Islander Beneficiaries | 77 |
| Number Of Hispanic Beneficiaries | 42 |
| Number Of American Indian Alaska Native Beneficiaries | 16 |
| Number Of Beneficiaries With Race Not Else where Classified | 55 |
| Number Of Beneficiaries With Medicare Only Entitlement | 2975 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 882 |
| Percent Of With Atrial Fibrillation | 16 |
| Percent Of With Alzheimers Disease or Dementia | 18 |
| Percent Of With Asthma | 10 |
| Percent Of With Cancer | 14 |
| Percent Of With Heart Failure | 28 |
| Percent Of With Chronic Kidney Disease | 37 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 21 |
| Percent Of With Depression | 33 |
| Percent Of With Diabetes | 30 |
| Percent Of With Hyperlipidemia | 49 |
| Percent Of With Hypertension | 67 |
| Percent Of With Ischemic Heart Disease | 36 |
| Percent Of With Osteoporosis | 12 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 42 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 10 |
| Percent Of With Stroke | 7 |
| Average HCC Risk Score Of Beneficiaries | 1.6128 |