National Provider Identifier [NPI]: |
1346216165 |
Last Name Of The Provider |
MEISTER |
First Name Of The Provider |
STEVEN |
Middle Initial Of The Provider |
T |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1420 EAST COLLEGE DRIVE |
Street Address 2 Of The Provider |
|
City Of The Provider |
MARSHALL |
Zip Code Of The Provider |
56258 |
State Code Of The Provider |
MN |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Family Practice |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
264 |
Number Of Services |
6800 |
Number Of Medicare Beneficiaries |
307 |
Total Submitted Charge Amount |
565409.8 |
Total Medicare Allowed Amount |
168010.5 |
Total Medicare Payment Amount |
134324.34 |
Total Medicare Standardized Payment Amount |
137301.95 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
23 |
Number Of Drug Services |
2941 |
Number Of Medicare Beneficiaries With Drug Services |
98 |
Total Drug Submitted ChargeAmount |
20513.82 |
Total Drug Medicare AllowedAmount |
8781.55 |
Total Drug Medicare PaymentAmount |
7017.11 |
Total Drug Medicare Standardized Payment Amount |
7017.11 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
241 |
Number Of Medical Services |
3859 |
Number Of Medicare Beneficiaries With Medical Services |
307 |
Total Medical Submitted Charge Amount |
544895.98 |
Total Medical Medicare Allowed Amount |
159228.95 |
Total Medical Medicare Payment Amount |
127307.23 |
Total Medical Medicare Standardized Payment Amount |
130284.84 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
46 |
Number Of Beneficiaries Age 65 to 74 |
92 |
Number Of Beneficiaries Age 75 to 84 |
107 |
Number Of Beneficiaries Age Greater 84 |
62 |
Number Of Female Beneficiaries |
156 |
Number Of Male Beneficiaries |
151 |
Number Of Non Hispanic White Beneficiaries |
293 |
Number Of Black or African American Beneficiaries |
|
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 |
260 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
47 |
Percent Of With Atrial Fibrillation |
18 |
Percent Of With Alzheimers Disease or Dementia |
11 |
Percent Of With Asthma |
5 |
Percent Of With Cancer |
12 |
Percent Of With Heart Failure |
26 |
Percent Of With Chronic Kidney Disease |
22 |
Percent Of With Chronic Obstructive Pulmonary Disease |
11 |
Percent Of With Depression |
23 |
Percent Of With Diabetes |
27 |
Percent Of With Hyperlipidemia |
44 |
Percent Of With Hypertension |
56 |
Percent Of With Ischemic Heart Disease |
28 |
Percent Of With Osteoporosis |
10 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
28 |
Percent Of With Schizophrenia Other PsychoticDisorders |
7 |
Percent Of With Stroke |
4 |
Average HCC Risk Score Of Beneficiaries |
1.1249 |