National Provider Identifier [NPI]: |
1972676575 |
Last Name Of The Provider |
STEC |
First Name Of The Provider |
HEATHER |
Middle Initial Of The Provider |
M |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
12330 PINECREST RD |
Street Address 2 Of The Provider |
SUITE 250 |
City Of The Provider |
RESTON |
Zip Code Of The Provider |
201911642 |
State Code Of The Provider |
VA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Family Practice |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
23 |
Number Of Services |
285 |
Number Of Medicare Beneficiaries |
111 |
Total Submitted Charge Amount |
42025 |
Total Medicare Allowed Amount |
25969.45 |
Total Medicare Payment Amount |
17787.33 |
Total Medicare Standardized Payment Amount |
16191.83 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
3 |
Number Of Drug Services |
13 |
Number Of Medicare Beneficiaries With Drug Services |
12 |
Total Drug Submitted ChargeAmount |
744 |
Total Drug Medicare AllowedAmount |
540.65 |
Total Drug Medicare PaymentAmount |
529.83 |
Total Drug Medicare Standardized Payment Amount |
529.83 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
20 |
Number Of Medical Services |
272 |
Number Of Medicare Beneficiaries With Medical Services |
111 |
Total Medical Submitted Charge Amount |
41281 |
Total Medical Medicare Allowed Amount |
25428.8 |
Total Medical Medicare Payment Amount |
17257.5 |
Total Medical Medicare Standardized Payment Amount |
15662 |
Average Age Of Beneficiaries |
72 |
Number Of Beneficiaries Age Less65 |
|
Number Of Beneficiaries Age 65 to 74 |
81 |
Number Of Beneficiaries Age 75 to 84 |
|
Number Of Beneficiaries Age Greater 84 |
|
Number Of Female Beneficiaries |
87 |
Number Of Male Beneficiaries |
24 |
Number Of Non Hispanic White Beneficiaries |
95 |
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 |
|
Number Of Beneficiaries With Medicare Medicaid Entitlement |
|
Percent Of With Atrial Fibrillation |
|
Percent Of With Alzheimers Disease or Dementia |
|
Percent Of With Asthma |
|
Percent Of With Cancer |
12 |
Percent Of With Heart Failure |
|
Percent Of With Chronic Kidney Disease |
10 |
Percent Of With Chronic Obstructive Pulmonary Disease |
|
Percent Of With Depression |
15 |
Percent Of With Diabetes |
14 |
Percent Of With Hyperlipidemia |
43 |
Percent Of With Hypertension |
55 |
Percent Of With Ischemic Heart Disease |
12 |
Percent Of With Osteoporosis |
|
Percent Of With Rheumatoid Arthritis Osteoarthritis |
31 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
|
Average HCC Risk Score Of Beneficiaries |
0.6468 |