Medicare Facts for Russell W. Stephan


National Provider Identifier [NPI]: 1124191226
Last Name Of The Provider STEPHAN
First Name Of The Provider RUSSELL
Middle Initial Of The Provider W
Credentials Of The Provider MSM MPT
Gender Of The Provider M
Entity Type Of The Provider I
Street Address 1 Of The Provider 9371 CYPRESS LAKE DR
Street Address 2 Of The Provider SUITE 20
City Of The Provider FORT MYERS
Zip Code Of The Provider 339194939
State Code Of The Provider FL
Country Code Of The Provider US
Provider Type Of The Provider Physical Therapist
Medicare Participation Indicator Y
Number Of HCPCS 8
Number Of Services 4474
Number Of Medicare Beneficiaries 97
Total Submitted Charge Amount 149185.6
Total Medicare Allowed Amount 119907.27
Total Medicare Payment Amount 92381.17
Total Medicare Standardized Payment Amount 46687.48
Drug Suppress Indicator
Number Of HCPCS Associated With Drug Services 0
Number Of Drug Services 0
Number Of Medicare Beneficiaries With Drug Services 0
Total Drug Submitted ChargeAmount 0
Total Drug Medicare AllowedAmount 0
Total Drug Medicare PaymentAmount 0
Total Drug Medicare Standardized Payment Amount 0
Medical SuppressIndicator
Number Of HCPCS Associated With MedicalServices 8
Number Of Medical Services 4474
Number Of Medicare Beneficiaries With Medical Services 97
Total Medical Submitted Charge Amount 149185.6
Total Medical Medicare Allowed Amount 119907.27
Total Medical Medicare Payment Amount 92381.17
Total Medical Medicare Standardized Payment Amount 46687.48
Average Age Of Beneficiaries 76
Number Of Beneficiaries Age Less65
Number Of Beneficiaries Age 65 to 74
Number Of Beneficiaries Age 75 to 84 45
Number Of Beneficiaries Age Greater 84
Number Of Female Beneficiaries 59
Number Of Male Beneficiaries 38
Number Of Non Hispanic White Beneficiaries
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
Number Of Beneficiaries With Medicare Only Entitlement
Number Of Beneficiaries With Medicare Medicaid Entitlement
Percent Of With Atrial Fibrillation
Percent Of With Alzheimers Disease or Dementia
Percent Of With Asthma
Percent Of With Cancer
Percent Of With Heart Failure
Percent Of With Chronic Kidney Disease 15
Percent Of With Chronic Obstructive Pulmonary Disease 13
Percent Of With Depression 13
Percent Of With Diabetes 33
Percent Of With Hyperlipidemia 75
Percent Of With Hypertension 70
Percent Of With Ischemic Heart Disease 43
Percent Of With Osteoporosis 19
Percent Of With Rheumatoid Arthritis Osteoarthritis 75
Percent Of With Schizophrenia Other PsychoticDisorders
Percent Of With Stroke
Average HCC Risk Score Of Beneficiaries 0.9118

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