National Provider Identifier [NPI]: |
1932166162 |
Last Name Of The Provider |
BIGG |
First Name Of The Provider |
STEVEN |
Middle Initial Of The Provider |
W |
Credentials Of The Provider |
|
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
215 DUNN RD |
Street Address 2 Of The Provider |
|
City Of The Provider |
FLORISSANT |
Zip Code Of The Provider |
630317928 |
State Code Of The Provider |
MO |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Urology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
86 |
Number Of Services |
5428 |
Number Of Medicare Beneficiaries |
981 |
Total Submitted Charge Amount |
802035.5 |
Total Medicare Allowed Amount |
269645.03 |
Total Medicare Payment Amount |
195235.95 |
Total Medicare Standardized Payment Amount |
200769.17 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
7 |
Number Of Drug Services |
1376 |
Number Of Medicare Beneficiaries With Drug Services |
43 |
Total Drug Submitted ChargeAmount |
90783 |
Total Drug Medicare AllowedAmount |
25443.44 |
Total Drug Medicare PaymentAmount |
19838.02 |
Total Drug Medicare Standardized Payment Amount |
19838.02 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
79 |
Number Of Medical Services |
4052 |
Number Of Medicare Beneficiaries With Medical Services |
981 |
Total Medical Submitted Charge Amount |
711252.5 |
Total Medical Medicare Allowed Amount |
244201.59 |
Total Medical Medicare Payment Amount |
175397.93 |
Total Medical Medicare Standardized Payment Amount |
180931.15 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
124 |
Number Of Beneficiaries Age 65 to 74 |
398 |
Number Of Beneficiaries Age 75 to 84 |
313 |
Number Of Beneficiaries Age Greater 84 |
146 |
Number Of Female Beneficiaries |
210 |
Number Of Male Beneficiaries |
771 |
Number Of Non Hispanic White Beneficiaries |
693 |
Number Of Black or African American Beneficiaries |
269 |
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 |
834 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
147 |
Percent Of With Atrial Fibrillation |
12 |
Percent Of With Alzheimers Disease or Dementia |
13 |
Percent Of With Asthma |
7 |
Percent Of With Cancer |
27 |
Percent Of With Heart Failure |
20 |
Percent Of With Chronic Kidney Disease |
36 |
Percent Of With Chronic Obstructive Pulmonary Disease |
15 |
Percent Of With Depression |
19 |
Percent Of With Diabetes |
35 |
Percent Of With Hyperlipidemia |
58 |
Percent Of With Hypertension |
74 |
Percent Of With Ischemic Heart Disease |
39 |
Percent Of With Osteoporosis |
4 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
36 |
Percent Of With Schizophrenia Other PsychoticDisorders |
5 |
Percent Of With Stroke |
6 |
Average HCC Risk Score Of Beneficiaries |
1.4239 |