National Provider Identifier [NPI]: |
1841279734 |
Last Name Of The Provider |
QUESTAD |
First Name Of The Provider |
DEANNA |
Middle Initial Of The Provider |
L |
Credentials Of The Provider |
MD |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
2515 SW STATE ST |
Street Address 2 Of The Provider |
SUITE 100 |
City Of The Provider |
ANKENY |
Zip Code Of The Provider |
500237011 |
State Code Of The Provider |
IA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Internal Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
107 |
Number Of Services |
11694 |
Number Of Medicare Beneficiaries |
875 |
Total Submitted Charge Amount |
786656 |
Total Medicare Allowed Amount |
328286.82 |
Total Medicare Payment Amount |
265090.98 |
Total Medicare Standardized Payment Amount |
281991.54 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
10 |
Number Of Drug Services |
447 |
Number Of Medicare Beneficiaries With Drug Services |
252 |
Total Drug Submitted ChargeAmount |
17237 |
Total Drug Medicare AllowedAmount |
11622.44 |
Total Drug Medicare PaymentAmount |
11306.88 |
Total Drug Medicare Standardized Payment Amount |
11306.88 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
97 |
Number Of Medical Services |
11247 |
Number Of Medicare Beneficiaries With Medical Services |
875 |
Total Medical Submitted Charge Amount |
769419 |
Total Medical Medicare Allowed Amount |
316664.38 |
Total Medical Medicare Payment Amount |
253784.1 |
Total Medical Medicare Standardized Payment Amount |
270684.66 |
Average Age Of Beneficiaries |
77 |
Number Of Beneficiaries Age Less65 |
39 |
Number Of Beneficiaries Age 65 to 74 |
374 |
Number Of Beneficiaries Age 75 to 84 |
236 |
Number Of Beneficiaries Age Greater 84 |
226 |
Number Of Female Beneficiaries |
709 |
Number Of Male Beneficiaries |
166 |
Number Of Non Hispanic White Beneficiaries |
847 |
Number Of Black or African American Beneficiaries |
13 |
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 |
798 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
77 |
Percent Of With Atrial Fibrillation |
13 |
Percent Of With Alzheimers Disease or Dementia |
17 |
Percent Of With Asthma |
4 |
Percent Of With Cancer |
10 |
Percent Of With Heart Failure |
17 |
Percent Of With Chronic Kidney Disease |
19 |
Percent Of With Chronic Obstructive Pulmonary Disease |
11 |
Percent Of With Depression |
23 |
Percent Of With Diabetes |
21 |
Percent Of With Hyperlipidemia |
42 |
Percent Of With Hypertension |
65 |
Percent Of With Ischemic Heart Disease |
26 |
Percent Of With Osteoporosis |
11 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
32 |
Percent Of With Schizophrenia Other PsychoticDisorders |
7 |
Percent Of With Stroke |
4 |
Average HCC Risk Score Of Beneficiaries |
1.1022 |