National Provider Identifier [NPI]: |
1619977188 |
Last Name Of The Provider |
STEWART |
First Name Of The Provider |
DAVID |
Middle Initial Of The Provider |
G |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
7460 WOLF RIVER BOULEVARD |
Street Address 2 Of The Provider |
|
City Of The Provider |
GERMANTOWN |
Zip Code Of The Provider |
38138 |
State Code Of The Provider |
TN |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Cardiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
56 |
Number Of Services |
3843 |
Number Of Medicare Beneficiaries |
1318 |
Total Submitted Charge Amount |
741084 |
Total Medicare Allowed Amount |
248407.64 |
Total Medicare Payment Amount |
179485.72 |
Total Medicare Standardized Payment Amount |
194987.83 |
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 |
56 |
Number Of Medical Services |
3843 |
Number Of Medicare Beneficiaries With Medical Services |
1318 |
Total Medical Submitted Charge Amount |
741084 |
Total Medical Medicare Allowed Amount |
248407.64 |
Total Medical Medicare Payment Amount |
179485.72 |
Total Medical Medicare Standardized Payment Amount |
194987.83 |
Average Age Of Beneficiaries |
75 |
Number Of Beneficiaries Age Less65 |
107 |
Number Of Beneficiaries Age 65 to 74 |
497 |
Number Of Beneficiaries Age 75 to 84 |
474 |
Number Of Beneficiaries Age Greater 84 |
240 |
Number Of Female Beneficiaries |
640 |
Number Of Male Beneficiaries |
678 |
Number Of Non Hispanic White Beneficiaries |
1084 |
Number Of Black or African American Beneficiaries |
213 |
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 |
1152 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
166 |
Percent Of With Atrial Fibrillation |
30 |
Percent Of With Alzheimers Disease or Dementia |
13 |
Percent Of With Asthma |
9 |
Percent Of With Cancer |
12 |
Percent Of With Heart Failure |
34 |
Percent Of With Chronic Kidney Disease |
33 |
Percent Of With Chronic Obstructive Pulmonary Disease |
18 |
Percent Of With Depression |
17 |
Percent Of With Diabetes |
36 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
63 |
Percent Of With Osteoporosis |
6 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
41 |
Percent Of With Schizophrenia Other PsychoticDisorders |
5 |
Percent Of With Stroke |
9 |
Average HCC Risk Score Of Beneficiaries |
1.5384 |