National Provider Identifier [NPI]: |
1083645287 |
Last Name Of The Provider |
PRIEST |
First Name Of The Provider |
STEVEN |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1550 BARKLEY CIR |
Street Address 2 Of The Provider |
|
City Of The Provider |
FORT MYERS |
Zip Code Of The Provider |
339074539 |
State Code Of The Provider |
FL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Cardiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
88 |
Number Of Services |
6285 |
Number Of Medicare Beneficiaries |
2253 |
Total Submitted Charge Amount |
1325970.25 |
Total Medicare Allowed Amount |
413095.36 |
Total Medicare Payment Amount |
310206.67 |
Total Medicare Standardized Payment Amount |
296296.86 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
1 |
Number Of Drug Services |
2210 |
Number Of Medicare Beneficiaries With Drug Services |
23 |
Total Drug Submitted ChargeAmount |
7773.25 |
Total Drug Medicare AllowedAmount |
404.15 |
Total Drug Medicare PaymentAmount |
305.73 |
Total Drug Medicare Standardized Payment Amount |
305.73 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
87 |
Number Of Medical Services |
4075 |
Number Of Medicare Beneficiaries With Medical Services |
2253 |
Total Medical Submitted Charge Amount |
1318197 |
Total Medical Medicare Allowed Amount |
412691.21 |
Total Medical Medicare Payment Amount |
309900.94 |
Total Medical Medicare Standardized Payment Amount |
295991.13 |
Average Age Of Beneficiaries |
77 |
Number Of Beneficiaries Age Less65 |
135 |
Number Of Beneficiaries Age 65 to 74 |
754 |
Number Of Beneficiaries Age 75 to 84 |
909 |
Number Of Beneficiaries Age Greater 84 |
455 |
Number Of Female Beneficiaries |
962 |
Number Of Male Beneficiaries |
1291 |
Number Of Non Hispanic White Beneficiaries |
2065 |
Number Of Black or African American Beneficiaries |
67 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
84 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
23 |
Number Of Beneficiaries With Medicare Only Entitlement |
2027 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
226 |
Percent Of With Atrial Fibrillation |
41 |
Percent Of With Alzheimers Disease or Dementia |
13 |
Percent Of With Asthma |
8 |
Percent Of With Cancer |
15 |
Percent Of With Heart Failure |
40 |
Percent Of With Chronic Kidney Disease |
35 |
Percent Of With Chronic Obstructive Pulmonary Disease |
29 |
Percent Of With Depression |
18 |
Percent Of With Diabetes |
42 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
75 |
Percent Of With Osteoporosis |
8 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
43 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
14 |
Average HCC Risk Score Of Beneficiaries |
1.7046 |