National Provider Identifier [NPI]: |
1013990720 |
Last Name Of The Provider |
STERN |
First Name Of The Provider |
KATHLEEN |
Middle Initial Of The Provider |
W |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
610 9TH AVE |
Street Address 2 Of The Provider |
|
City Of The Provider |
BRUNSWICK |
Zip Code Of The Provider |
217161828 |
State Code Of The Provider |
MD |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Family Practice |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
55 |
Number Of Services |
3194 |
Number Of Medicare Beneficiaries |
594 |
Total Submitted Charge Amount |
355315 |
Total Medicare Allowed Amount |
202020.85 |
Total Medicare Payment Amount |
148310.81 |
Total Medicare Standardized Payment Amount |
146874.96 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
11 |
Number Of Drug Services |
410 |
Number Of Medicare Beneficiaries With Drug Services |
275 |
Total Drug Submitted ChargeAmount |
31545 |
Total Drug Medicare AllowedAmount |
21673.68 |
Total Drug Medicare PaymentAmount |
21150.82 |
Total Drug Medicare Standardized Payment Amount |
21150.82 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
44 |
Number Of Medical Services |
2784 |
Number Of Medicare Beneficiaries With Medical Services |
594 |
Total Medical Submitted Charge Amount |
323770 |
Total Medical Medicare Allowed Amount |
180347.17 |
Total Medical Medicare Payment Amount |
127159.99 |
Total Medical Medicare Standardized Payment Amount |
125724.14 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
48 |
Number Of Beneficiaries Age 65 to 74 |
309 |
Number Of Beneficiaries Age 75 to 84 |
162 |
Number Of Beneficiaries Age Greater 84 |
75 |
Number Of Female Beneficiaries |
413 |
Number Of Male Beneficiaries |
181 |
Number Of Non Hispanic White Beneficiaries |
546 |
Number Of Black or African American Beneficiaries |
35 |
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 |
556 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
38 |
Percent Of With Atrial Fibrillation |
11 |
Percent Of With Alzheimers Disease or Dementia |
8 |
Percent Of With Asthma |
7 |
Percent Of With Cancer |
8 |
Percent Of With Heart Failure |
9 |
Percent Of With Chronic Kidney Disease |
21 |
Percent Of With Chronic Obstructive Pulmonary Disease |
10 |
Percent Of With Depression |
19 |
Percent Of With Diabetes |
35 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
69 |
Percent Of With Ischemic Heart Disease |
29 |
Percent Of With Osteoporosis |
13 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
42 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
0.9601 |