National Provider Identifier [NPI]: |
1215934310 |
Last Name Of The Provider |
SHELTON |
First Name Of The Provider |
STEVEN |
Middle Initial Of The Provider |
R |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
510 SPRING ST |
Street Address 2 Of The Provider |
|
City Of The Provider |
JEFFERSONVILLE |
Zip Code Of The Provider |
471303554 |
State Code Of The Provider |
IN |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Psychiatry |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
16 |
Number Of Services |
7102 |
Number Of Medicare Beneficiaries |
2650 |
Total Submitted Charge Amount |
632310 |
Total Medicare Allowed Amount |
471859.12 |
Total Medicare Payment Amount |
347030.51 |
Total Medicare Standardized Payment Amount |
374819.69 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
0 |
Number Of Drug Services |
0 |
Number Of Medicare Beneficiaries With Drug Services |
0 |
Total Drug Submitted ChargeAmount |
0 |
Total Drug Medicare AllowedAmount |
0 |
Total Drug Medicare PaymentAmount |
0 |
Total Drug Medicare Standardized Payment Amount |
0 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
16 |
Number Of Medical Services |
7102 |
Number Of Medicare Beneficiaries With Medical Services |
2650 |
Total Medical Submitted Charge Amount |
632310 |
Total Medical Medicare Allowed Amount |
471859.12 |
Total Medical Medicare Payment Amount |
347030.51 |
Total Medical Medicare Standardized Payment Amount |
374819.69 |
Average Age Of Beneficiaries |
76 |
Number Of Beneficiaries Age Less65 |
439 |
Number Of Beneficiaries Age 65 to 74 |
607 |
Number Of Beneficiaries Age 75 to 84 |
802 |
Number Of Beneficiaries Age Greater 84 |
802 |
Number Of Female Beneficiaries |
1723 |
Number Of Male Beneficiaries |
927 |
Number Of Non Hispanic White Beneficiaries |
2386 |
Number Of Black or African American Beneficiaries |
232 |
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 |
15 |
Number Of Beneficiaries With Medicare Only Entitlement |
447 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
2203 |
Percent Of With Atrial Fibrillation |
18 |
Percent Of With Alzheimers Disease or Dementia |
75 |
Percent Of With Asthma |
7 |
Percent Of With Cancer |
8 |
Percent Of With Heart Failure |
47 |
Percent Of With Chronic Kidney Disease |
42 |
Percent Of With Chronic Obstructive Pulmonary Disease |
40 |
Percent Of With Depression |
75 |
Percent Of With Diabetes |
48 |
Percent Of With Hyperlipidemia |
51 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
57 |
Percent Of With Osteoporosis |
12 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
52 |
Percent Of With Schizophrenia Other PsychoticDisorders |
48 |
Percent Of With Stroke |
16 |
Average HCC Risk Score Of Beneficiaries |
2.3957 |