National Provider Identifier [NPI]: |
1346213915 |
Last Name Of The Provider |
STEINERT |
First Name Of The Provider |
KRISTI |
Middle Initial Of The Provider |
J |
Credentials Of The Provider |
PAC |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
330 S 5TH ST |
Street Address 2 Of The Provider |
SUITE 400 |
City Of The Provider |
ENID |
Zip Code Of The Provider |
737015825 |
State Code Of The Provider |
OK |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Physician Assistant |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
37 |
Number Of Services |
2531 |
Number Of Medicare Beneficiaries |
483 |
Total Submitted Charge Amount |
264753.37 |
Total Medicare Allowed Amount |
104991.16 |
Total Medicare Payment Amount |
81008.14 |
Total Medicare Standardized Payment Amount |
101258.93 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
5 |
Number Of Drug Services |
23 |
Number Of Medicare Beneficiaries With Drug Services |
16 |
Total Drug Submitted ChargeAmount |
2759.46 |
Total Drug Medicare AllowedAmount |
1978.39 |
Total Drug Medicare PaymentAmount |
1927.37 |
Total Drug Medicare Standardized Payment Amount |
1927.37 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
32 |
Number Of Medical Services |
2508 |
Number Of Medicare Beneficiaries With Medical Services |
483 |
Total Medical Submitted Charge Amount |
261993.91 |
Total Medical Medicare Allowed Amount |
103012.77 |
Total Medical Medicare Payment Amount |
79080.77 |
Total Medical Medicare Standardized Payment Amount |
99331.56 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
47 |
Number Of Beneficiaries Age 65 to 74 |
205 |
Number Of Beneficiaries Age 75 to 84 |
165 |
Number Of Beneficiaries Age Greater 84 |
66 |
Number Of Female Beneficiaries |
265 |
Number Of Male Beneficiaries |
218 |
Number Of Non Hispanic White Beneficiaries |
470 |
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 |
0 |
Number Of Beneficiaries With Medicare Only Entitlement |
421 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
62 |
Percent Of With Atrial Fibrillation |
10 |
Percent Of With Alzheimers Disease or Dementia |
8 |
Percent Of With Asthma |
14 |
Percent Of With Cancer |
12 |
Percent Of With Heart Failure |
22 |
Percent Of With Chronic Kidney Disease |
18 |
Percent Of With Chronic Obstructive Pulmonary Disease |
27 |
Percent Of With Depression |
18 |
Percent Of With Diabetes |
29 |
Percent Of With Hyperlipidemia |
57 |
Percent Of With Hypertension |
67 |
Percent Of With Ischemic Heart Disease |
45 |
Percent Of With Osteoporosis |
5 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
42 |
Percent Of With Schizophrenia Other PsychoticDisorders |
2 |
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
1.0963 |