National Provider Identifier [NPI]: |
1114016391 |
Last Name Of The Provider |
SILVERMAN |
First Name Of The Provider |
TODD |
Middle Initial Of The Provider |
B |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
232 S WOODS MILL RD |
Street Address 2 Of The Provider |
SUITE 400 EAST |
City Of The Provider |
CHESTERFIELD |
Zip Code Of The Provider |
630173417 |
State Code Of The Provider |
MO |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Neurology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
34 |
Number Of Services |
10368 |
Number Of Medicare Beneficiaries |
789 |
Total Submitted Charge Amount |
483824 |
Total Medicare Allowed Amount |
241761.46 |
Total Medicare Payment Amount |
180190.08 |
Total Medicare Standardized Payment Amount |
181473.19 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
1 |
Number Of Drug Services |
8500 |
Number Of Medicare Beneficiaries With Drug Services |
18 |
Total Drug Submitted ChargeAmount |
93500 |
Total Drug Medicare AllowedAmount |
46702.58 |
Total Drug Medicare PaymentAmount |
36610.62 |
Total Drug Medicare Standardized Payment Amount |
36610.62 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
33 |
Number Of Medical Services |
1868 |
Number Of Medicare Beneficiaries With Medical Services |
789 |
Total Medical Submitted Charge Amount |
390324 |
Total Medical Medicare Allowed Amount |
195058.88 |
Total Medical Medicare Payment Amount |
143579.46 |
Total Medical Medicare Standardized Payment Amount |
144862.57 |
Average Age Of Beneficiaries |
75 |
Number Of Beneficiaries Age Less65 |
88 |
Number Of Beneficiaries Age 65 to 74 |
248 |
Number Of Beneficiaries Age 75 to 84 |
304 |
Number Of Beneficiaries Age Greater 84 |
149 |
Number Of Female Beneficiaries |
403 |
Number Of Male Beneficiaries |
386 |
Number Of Non Hispanic White Beneficiaries |
738 |
Number Of Black or African American Beneficiaries |
33 |
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 |
734 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
55 |
Percent Of With Atrial Fibrillation |
18 |
Percent Of With Alzheimers Disease or Dementia |
29 |
Percent Of With Asthma |
8 |
Percent Of With Cancer |
13 |
Percent Of With Heart Failure |
24 |
Percent Of With Chronic Kidney Disease |
26 |
Percent Of With Chronic Obstructive Pulmonary Disease |
14 |
Percent Of With Depression |
39 |
Percent Of With Diabetes |
29 |
Percent Of With Hyperlipidemia |
68 |
Percent Of With Hypertension |
74 |
Percent Of With Ischemic Heart Disease |
49 |
Percent Of With Osteoporosis |
11 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
53 |
Percent Of With Schizophrenia Other PsychoticDisorders |
8 |
Percent Of With Stroke |
22 |
Average HCC Risk Score Of Beneficiaries |
1.4895 |