Medicare Facts for Dr. John P. Stelmach, MD


National Provider Identifier [NPI]: 1619975174
Last Name Of The Provider STELMACH
First Name Of The Provider JOHN
Middle Initial Of The Provider P
Credentials Of The Provider M.D.
Gender Of The Provider M
Entity Type Of The Provider I
Street Address 1 Of The Provider 11 FAIRLANE RD
Street Address 2 Of The Provider
City Of The Provider READING
Zip Code Of The Provider 196069567
State Code Of The Provider PA
Country Code Of The Provider US
Provider Type Of The Provider Orthopedic Surgery
Medicare Participation Indicator Y
Number Of HCPCS 80
Number Of Services 7428
Number Of Medicare Beneficiaries 683
Total Submitted Charge Amount 1444038.5
Total Medicare Allowed Amount 382457.48
Total Medicare Payment Amount 290234.59
Total Medicare Standardized Payment Amount 301122.08
Drug Suppress Indicator
Number Of HCPCS Associated With Drug Services 5
Number Of Drug Services 5002
Number Of Medicare Beneficiaries With Drug Services 219
Total Drug Submitted ChargeAmount 67213
Total Drug Medicare AllowedAmount 25513.76
Total Drug Medicare PaymentAmount 19540.43
Total Drug Medicare Standardized Payment Amount 19540.43
Medical SuppressIndicator
Number Of HCPCS Associated With MedicalServices 75
Number Of Medical Services 2426
Number Of Medicare Beneficiaries With Medical Services 683
Total Medical Submitted Charge Amount 1376825.5
Total Medical Medicare Allowed Amount 356943.72
Total Medical Medicare Payment Amount 270694.16
Total Medical Medicare Standardized Payment Amount 281581.65
Average Age Of Beneficiaries 75
Number Of Beneficiaries Age Less65 59
Number Of Beneficiaries Age 65 to 74 277
Number Of Beneficiaries Age 75 to 84 245
Number Of Beneficiaries Age Greater 84 102
Number Of Female Beneficiaries 462
Number Of Male Beneficiaries 221
Number Of Non Hispanic White Beneficiaries 638
Number Of Black or African American Beneficiaries
Number Of AsianPacific Islander Beneficiaries
Number Of Hispanic Beneficiaries 21
Number Of American Indian Alaska Native Beneficiaries 0
Number Of Beneficiaries With Race Not Else where Classified
Number Of Beneficiaries With Medicare Only Entitlement 570
Number Of Beneficiaries With Medicare Medicaid Entitlement 113
Percent Of With Atrial Fibrillation 14
Percent Of With Alzheimers Disease or Dementia 13
Percent Of With Asthma 14
Percent Of With Cancer 9
Percent Of With Heart Failure 21
Percent Of With Chronic Kidney Disease 24
Percent Of With Chronic Obstructive Pulmonary Disease 14
Percent Of With Depression 25
Percent Of With Diabetes 33
Percent Of With Hyperlipidemia 73
Percent Of With Hypertension 75
Percent Of With Ischemic Heart Disease 39
Percent Of With Osteoporosis 16
Percent Of With Rheumatoid Arthritis Osteoarthritis 75
Percent Of With Schizophrenia Other PsychoticDisorders 4
Percent Of With Stroke 4
Average HCC Risk Score Of Beneficiaries 1.2655

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