National Provider Identifier [NPI]: |
1316916745 |
Last Name Of The Provider |
VOGES |
First Name Of The Provider |
CHAD |
Middle Initial Of The Provider |
M |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
107 PIPER HILL DR |
Street Address 2 Of The Provider |
SUITE 150 |
City Of The Provider |
SAINT PETERS |
Zip Code Of The Provider |
633761651 |
State Code Of The Provider |
MO |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Family Practice |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
42 |
Number Of Services |
1095 |
Number Of Medicare Beneficiaries |
178 |
Total Submitted Charge Amount |
124527 |
Total Medicare Allowed Amount |
78109.21 |
Total Medicare Payment Amount |
55812.48 |
Total Medicare Standardized Payment Amount |
57620.05 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
9 |
Number Of Drug Services |
178 |
Number Of Medicare Beneficiaries With Drug Services |
78 |
Total Drug Submitted ChargeAmount |
4990 |
Total Drug Medicare AllowedAmount |
2873.71 |
Total Drug Medicare PaymentAmount |
2797.5 |
Total Drug Medicare Standardized Payment Amount |
2797.5 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
33 |
Number Of Medical Services |
917 |
Number Of Medicare Beneficiaries With Medical Services |
178 |
Total Medical Submitted Charge Amount |
119537 |
Total Medical Medicare Allowed Amount |
75235.5 |
Total Medical Medicare Payment Amount |
53014.98 |
Total Medical Medicare Standardized Payment Amount |
54822.55 |
Average Age Of Beneficiaries |
68 |
Number Of Beneficiaries Age Less65 |
43 |
Number Of Beneficiaries Age 65 to 74 |
87 |
Number Of Beneficiaries Age 75 to 84 |
33 |
Number Of Beneficiaries Age Greater 84 |
15 |
Number Of Female Beneficiaries |
101 |
Number Of Male Beneficiaries |
77 |
Number Of Non Hispanic White Beneficiaries |
165 |
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 |
158 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
20 |
Percent Of With Atrial Fibrillation |
8 |
Percent Of With Alzheimers Disease or Dementia |
8 |
Percent Of With Asthma |
|
Percent Of With Cancer |
6 |
Percent Of With Heart Failure |
10 |
Percent Of With Chronic Kidney Disease |
27 |
Percent Of With Chronic Obstructive Pulmonary Disease |
17 |
Percent Of With Depression |
31 |
Percent Of With Diabetes |
22 |
Percent Of With Hyperlipidemia |
61 |
Percent Of With Hypertension |
70 |
Percent Of With Ischemic Heart Disease |
24 |
Percent Of With Osteoporosis |
6 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
22 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
|
Average HCC Risk Score Of Beneficiaries |
1.1144 |