National Provider Identifier [NPI]: |
1750396297 |
Last Name Of The Provider |
STEINMETZ |
First Name Of The Provider |
DALE |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1601 NW 114TH ST |
Street Address 2 Of The Provider |
SUITE 245 |
City Of The Provider |
CLIVE |
Zip Code Of The Provider |
503257007 |
State Code Of The Provider |
IA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Family Practice |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
111 |
Number Of Services |
5744 |
Number Of Medicare Beneficiaries |
739 |
Total Submitted Charge Amount |
367877 |
Total Medicare Allowed Amount |
170347.91 |
Total Medicare Payment Amount |
129379.43 |
Total Medicare Standardized Payment Amount |
139858.76 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
9 |
Number Of Drug Services |
329 |
Number Of Medicare Beneficiaries With Drug Services |
292 |
Total Drug Submitted ChargeAmount |
12569 |
Total Drug Medicare AllowedAmount |
10085.02 |
Total Drug Medicare PaymentAmount |
9851.83 |
Total Drug Medicare Standardized Payment Amount |
9851.83 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
102 |
Number Of Medical Services |
5415 |
Number Of Medicare Beneficiaries With Medical Services |
738 |
Total Medical Submitted Charge Amount |
355308 |
Total Medical Medicare Allowed Amount |
160262.89 |
Total Medical Medicare Payment Amount |
119527.6 |
Total Medical Medicare Standardized Payment Amount |
130006.93 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
64 |
Number Of Beneficiaries Age 65 to 74 |
367 |
Number Of Beneficiaries Age 75 to 84 |
209 |
Number Of Beneficiaries Age Greater 84 |
99 |
Number Of Female Beneficiaries |
363 |
Number Of Male Beneficiaries |
376 |
Number Of Non Hispanic White Beneficiaries |
699 |
Number Of Black or African American Beneficiaries |
13 |
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 |
11 |
Number Of Beneficiaries With Medicare Only Entitlement |
666 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
73 |
Percent Of With Atrial Fibrillation |
13 |
Percent Of With Alzheimers Disease or Dementia |
7 |
Percent Of With Asthma |
3 |
Percent Of With Cancer |
7 |
Percent Of With Heart Failure |
11 |
Percent Of With Chronic Kidney Disease |
13 |
Percent Of With Chronic Obstructive Pulmonary Disease |
11 |
Percent Of With Depression |
16 |
Percent Of With Diabetes |
23 |
Percent Of With Hyperlipidemia |
48 |
Percent Of With Hypertension |
60 |
Percent Of With Ischemic Heart Disease |
31 |
Percent Of With Osteoporosis |
5 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
28 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
3 |
Average HCC Risk Score Of Beneficiaries |
0.917 |