National Provider Identifier [NPI]: |
1154367845 |
Last Name Of The Provider |
REEB |
First Name Of The Provider |
STEVEN |
Middle Initial Of The Provider |
D |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
2301 HOUSE AVE |
Street Address 2 Of The Provider |
STE 300 |
City Of The Provider |
CHEYENNE |
Zip Code Of The Provider |
820013176 |
State Code Of The Provider |
WY |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Pulmonary Disease |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
51 |
Number Of Services |
3310 |
Number Of Medicare Beneficiaries |
1235 |
Total Submitted Charge Amount |
435417 |
Total Medicare Allowed Amount |
246696.31 |
Total Medicare Payment Amount |
167393.57 |
Total Medicare Standardized Payment Amount |
162712.21 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
12 |
Number Of Drug Services |
375 |
Number Of Medicare Beneficiaries With Drug Services |
182 |
Total Drug Submitted ChargeAmount |
12967 |
Total Drug Medicare AllowedAmount |
5224.65 |
Total Drug Medicare PaymentAmount |
4270.46 |
Total Drug Medicare Standardized Payment Amount |
4270.46 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
39 |
Number Of Medical Services |
2935 |
Number Of Medicare Beneficiaries With Medical Services |
1235 |
Total Medical Submitted Charge Amount |
422450 |
Total Medical Medicare Allowed Amount |
241471.66 |
Total Medical Medicare Payment Amount |
163123.11 |
Total Medical Medicare Standardized Payment Amount |
158441.75 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
130 |
Number Of Beneficiaries Age 65 to 74 |
500 |
Number Of Beneficiaries Age 75 to 84 |
455 |
Number Of Beneficiaries Age Greater 84 |
150 |
Number Of Female Beneficiaries |
640 |
Number Of Male Beneficiaries |
595 |
Number Of Non Hispanic White Beneficiaries |
1078 |
Number Of Black or African American Beneficiaries |
28 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
104 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
1086 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
149 |
Percent Of With Atrial Fibrillation |
15 |
Percent Of With Alzheimers Disease or Dementia |
9 |
Percent Of With Asthma |
14 |
Percent Of With Cancer |
11 |
Percent Of With Heart Failure |
19 |
Percent Of With Chronic Kidney Disease |
24 |
Percent Of With Chronic Obstructive Pulmonary Disease |
28 |
Percent Of With Depression |
16 |
Percent Of With Diabetes |
32 |
Percent Of With Hyperlipidemia |
68 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
36 |
Percent Of With Osteoporosis |
6 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
32 |
Percent Of With Schizophrenia Other PsychoticDisorders |
2 |
Percent Of With Stroke |
4 |
Average HCC Risk Score Of Beneficiaries |
1.19 |