National Provider Identifier [NPI]: |
1336132943 |
Last Name Of The Provider |
GARNEAU |
First Name Of The Provider |
STEWART |
Middle Initial Of The Provider |
C |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
4362 7TH ST |
Street Address 2 Of The Provider |
|
City Of The Provider |
MOLINE |
Zip Code Of The Provider |
612656867 |
State Code Of The Provider |
IL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Medical Oncology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
62 |
Number Of Services |
86125 |
Number Of Medicare Beneficiaries |
671 |
Total Submitted Charge Amount |
1253386.66 |
Total Medicare Allowed Amount |
1207303.17 |
Total Medicare Payment Amount |
935948.29 |
Total Medicare Standardized Payment Amount |
966460.09 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
22 |
Number Of Drug Services |
71977 |
Number Of Medicare Beneficiaries With Drug Services |
118 |
Total Drug Submitted ChargeAmount |
698884.52 |
Total Drug Medicare AllowedAmount |
677418.39 |
Total Drug Medicare PaymentAmount |
528195.53 |
Total Drug Medicare Standardized Payment Amount |
528195.53 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
40 |
Number Of Medical Services |
14148 |
Number Of Medicare Beneficiaries With Medical Services |
671 |
Total Medical Submitted Charge Amount |
554502.14 |
Total Medical Medicare Allowed Amount |
529884.78 |
Total Medical Medicare Payment Amount |
407752.76 |
Total Medical Medicare Standardized Payment Amount |
438264.56 |
Average Age Of Beneficiaries |
75 |
Number Of Beneficiaries Age Less65 |
42 |
Number Of Beneficiaries Age 65 to 74 |
304 |
Number Of Beneficiaries Age 75 to 84 |
231 |
Number Of Beneficiaries Age Greater 84 |
94 |
Number Of Female Beneficiaries |
367 |
Number Of Male Beneficiaries |
304 |
Number Of Non Hispanic White Beneficiaries |
617 |
Number Of Black or African American Beneficiaries |
30 |
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 |
616 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
55 |
Percent Of With Atrial Fibrillation |
11 |
Percent Of With Alzheimers Disease or Dementia |
7 |
Percent Of With Asthma |
5 |
Percent Of With Cancer |
46 |
Percent Of With Heart Failure |
19 |
Percent Of With Chronic Kidney Disease |
27 |
Percent Of With Chronic Obstructive Pulmonary Disease |
21 |
Percent Of With Depression |
15 |
Percent Of With Diabetes |
29 |
Percent Of With Hyperlipidemia |
54 |
Percent Of With Hypertension |
65 |
Percent Of With Ischemic Heart Disease |
48 |
Percent Of With Osteoporosis |
6 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
37 |
Percent Of With Schizophrenia Other PsychoticDisorders |
4 |
Percent Of With Stroke |
3 |
Average HCC Risk Score Of Beneficiaries |
1.7373 |