National Provider Identifier [NPI]: |
1699768598 |
Last Name Of The Provider |
MEINHARDT |
First Name Of The Provider |
ERNEST |
Middle Initial Of The Provider |
J |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
9500 INDEPENDENCE DR |
Street Address 2 Of The Provider |
STE 900 |
City Of The Provider |
ANCHORAGE |
Zip Code Of The Provider |
995074615 |
State Code Of The Provider |
AK |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Family Practice |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
59 |
Number Of Services |
1655 |
Number Of Medicare Beneficiaries |
241 |
Total Submitted Charge Amount |
133465 |
Total Medicare Allowed Amount |
61743.61 |
Total Medicare Payment Amount |
37745.52 |
Total Medicare Standardized Payment Amount |
33459.79 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
8 |
Number Of Drug Services |
36 |
Number Of Medicare Beneficiaries With Drug Services |
24 |
Total Drug Submitted ChargeAmount |
1140 |
Total Drug Medicare AllowedAmount |
677.54 |
Total Drug Medicare PaymentAmount |
624.34 |
Total Drug Medicare Standardized Payment Amount |
624.34 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
51 |
Number Of Medical Services |
1619 |
Number Of Medicare Beneficiaries With Medical Services |
241 |
Total Medical Submitted Charge Amount |
132325 |
Total Medical Medicare Allowed Amount |
61066.07 |
Total Medical Medicare Payment Amount |
37121.18 |
Total Medical Medicare Standardized Payment Amount |
32835.45 |
Average Age Of Beneficiaries |
72 |
Number Of Beneficiaries Age Less65 |
14 |
Number Of Beneficiaries Age 65 to 74 |
142 |
Number Of Beneficiaries Age 75 to 84 |
68 |
Number Of Beneficiaries Age Greater 84 |
17 |
Number Of Female Beneficiaries |
106 |
Number Of Male Beneficiaries |
135 |
Number Of Non Hispanic White Beneficiaries |
214 |
Number Of Black or African American Beneficiaries |
|
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 |
224 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
17 |
Percent Of With Atrial Fibrillation |
6 |
Percent Of With Alzheimers Disease or Dementia |
|
Percent Of With Asthma |
|
Percent Of With Cancer |
7 |
Percent Of With Heart Failure |
8 |
Percent Of With Chronic Kidney Disease |
10 |
Percent Of With Chronic Obstructive Pulmonary Disease |
10 |
Percent Of With Depression |
7 |
Percent Of With Diabetes |
24 |
Percent Of With Hyperlipidemia |
22 |
Percent Of With Hypertension |
37 |
Percent Of With Ischemic Heart Disease |
19 |
Percent Of With Osteoporosis |
|
Percent Of With Rheumatoid Arthritis Osteoarthritis |
22 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
|
Average HCC Risk Score Of Beneficiaries |
0.6698 |