National Provider Identifier [NPI]: |
1861770042 |
Last Name Of The Provider |
STEINER |
First Name Of The Provider |
SHAWN |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
ARNP |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
16271 BASS RD |
Street Address 2 Of The Provider |
|
City Of The Provider |
FORT MYERS |
Zip Code Of The Provider |
339083616 |
State Code Of The Provider |
FL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Nurse Practitioner |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
40 |
Number Of Services |
1350 |
Number Of Medicare Beneficiaries |
681 |
Total Submitted Charge Amount |
205262 |
Total Medicare Allowed Amount |
76308.05 |
Total Medicare Payment Amount |
53211.82 |
Total Medicare Standardized Payment Amount |
60595.6 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
12 |
Number Of Drug Services |
127 |
Number Of Medicare Beneficiaries With Drug Services |
68 |
Total Drug Submitted ChargeAmount |
4563 |
Total Drug Medicare AllowedAmount |
784.93 |
Total Drug Medicare PaymentAmount |
684.72 |
Total Drug Medicare Standardized Payment Amount |
684.72 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
28 |
Number Of Medical Services |
1223 |
Number Of Medicare Beneficiaries With Medical Services |
681 |
Total Medical Submitted Charge Amount |
200699 |
Total Medical Medicare Allowed Amount |
75523.12 |
Total Medical Medicare Payment Amount |
52527.1 |
Total Medical Medicare Standardized Payment Amount |
59910.88 |
Average Age Of Beneficiaries |
77 |
Number Of Beneficiaries Age Less65 |
22 |
Number Of Beneficiaries Age 65 to 74 |
279 |
Number Of Beneficiaries Age 75 to 84 |
240 |
Number Of Beneficiaries Age Greater 84 |
140 |
Number Of Female Beneficiaries |
437 |
Number Of Male Beneficiaries |
244 |
Number Of Non Hispanic White Beneficiaries |
658 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
660 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
21 |
Percent Of With Atrial Fibrillation |
14 |
Percent Of With Alzheimers Disease or Dementia |
9 |
Percent Of With Asthma |
5 |
Percent Of With Cancer |
11 |
Percent Of With Heart Failure |
12 |
Percent Of With Chronic Kidney Disease |
17 |
Percent Of With Chronic Obstructive Pulmonary Disease |
16 |
Percent Of With Depression |
20 |
Percent Of With Diabetes |
21 |
Percent Of With Hyperlipidemia |
72 |
Percent Of With Hypertension |
71 |
Percent Of With Ischemic Heart Disease |
42 |
Percent Of With Osteoporosis |
13 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
46 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
6 |
Average HCC Risk Score Of Beneficiaries |
1.0751 |