National Provider Identifier [NPI]: |
1417967969 |
Last Name Of The Provider |
ALBERT |
First Name Of The Provider |
STEWART |
Middle Initial Of The Provider |
G |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
3660 VISTA |
Street Address 2 Of The Provider |
|
City Of The Provider |
ST LOUIS |
Zip Code Of The Provider |
63110 |
State Code Of The Provider |
MO |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Endocrinology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
28 |
Number Of Services |
1388 |
Number Of Medicare Beneficiaries |
446 |
Total Submitted Charge Amount |
186495 |
Total Medicare Allowed Amount |
133099.59 |
Total Medicare Payment Amount |
99054.78 |
Total Medicare Standardized Payment Amount |
101282.13 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
5 |
Number Of Drug Services |
42 |
Number Of Medicare Beneficiaries With Drug Services |
40 |
Total Drug Submitted ChargeAmount |
2605 |
Total Drug Medicare AllowedAmount |
1321.12 |
Total Drug Medicare PaymentAmount |
1294.61 |
Total Drug Medicare Standardized Payment Amount |
1294.61 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
23 |
Number Of Medical Services |
1346 |
Number Of Medicare Beneficiaries With Medical Services |
446 |
Total Medical Submitted Charge Amount |
183890 |
Total Medical Medicare Allowed Amount |
131778.47 |
Total Medical Medicare Payment Amount |
97760.17 |
Total Medical Medicare Standardized Payment Amount |
99987.52 |
Average Age Of Beneficiaries |
67 |
Number Of Beneficiaries Age Less65 |
175 |
Number Of Beneficiaries Age 65 to 74 |
137 |
Number Of Beneficiaries Age 75 to 84 |
94 |
Number Of Beneficiaries Age Greater 84 |
40 |
Number Of Female Beneficiaries |
252 |
Number Of Male Beneficiaries |
194 |
Number Of Non Hispanic White Beneficiaries |
217 |
Number Of Black or African American Beneficiaries |
213 |
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 |
219 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
227 |
Percent Of With Atrial Fibrillation |
11 |
Percent Of With Alzheimers Disease or Dementia |
19 |
Percent Of With Asthma |
16 |
Percent Of With Cancer |
10 |
Percent Of With Heart Failure |
37 |
Percent Of With Chronic Kidney Disease |
53 |
Percent Of With Chronic Obstructive Pulmonary Disease |
24 |
Percent Of With Depression |
37 |
Percent Of With Diabetes |
66 |
Percent Of With Hyperlipidemia |
62 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
53 |
Percent Of With Osteoporosis |
15 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
42 |
Percent Of With Schizophrenia Other PsychoticDisorders |
8 |
Percent Of With Stroke |
11 |
Average HCC Risk Score Of Beneficiaries |
2.2817 |