National Provider Identifier [NPI]: |
1902876717 |
Last Name Of The Provider |
STEARNS |
First Name Of The Provider |
LISA |
Middle Initial Of The Provider |
J |
Credentials Of The Provider |
MD |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
4611 E. SHEA BLVD. BLD. 3 |
Street Address 2 Of The Provider |
SUITE 170 |
City Of The Provider |
PHOENIX |
Zip Code Of The Provider |
85028 |
State Code Of The Provider |
AZ |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Interventional Pain Management |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
103 |
Number Of Services |
12775 |
Number Of Medicare Beneficiaries |
362 |
Total Submitted Charge Amount |
1426642.82 |
Total Medicare Allowed Amount |
553427.09 |
Total Medicare Payment Amount |
413580.56 |
Total Medicare Standardized Payment Amount |
420148.11 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
18 |
Number Of Drug Services |
7645 |
Number Of Medicare Beneficiaries With Drug Services |
100 |
Total Drug Submitted ChargeAmount |
87016.19 |
Total Drug Medicare AllowedAmount |
46263.16 |
Total Drug Medicare PaymentAmount |
31582.15 |
Total Drug Medicare Standardized Payment Amount |
31582.15 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
85 |
Number Of Medical Services |
5130 |
Number Of Medicare Beneficiaries With Medical Services |
361 |
Total Medical Submitted Charge Amount |
1339626.63 |
Total Medical Medicare Allowed Amount |
507163.93 |
Total Medical Medicare Payment Amount |
381998.41 |
Total Medical Medicare Standardized Payment Amount |
388565.96 |
Average Age Of Beneficiaries |
66 |
Number Of Beneficiaries Age Less65 |
127 |
Number Of Beneficiaries Age 65 to 74 |
155 |
Number Of Beneficiaries Age 75 to 84 |
64 |
Number Of Beneficiaries Age Greater 84 |
16 |
Number Of Female Beneficiaries |
226 |
Number Of Male Beneficiaries |
136 |
Number Of Non Hispanic White Beneficiaries |
319 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
20 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
304 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
58 |
Percent Of With Atrial Fibrillation |
8 |
Percent Of With Alzheimers Disease or Dementia |
7 |
Percent Of With Asthma |
10 |
Percent Of With Cancer |
25 |
Percent Of With Heart Failure |
14 |
Percent Of With Chronic Kidney Disease |
32 |
Percent Of With Chronic Obstructive Pulmonary Disease |
15 |
Percent Of With Depression |
40 |
Percent Of With Diabetes |
27 |
Percent Of With Hyperlipidemia |
44 |
Percent Of With Hypertension |
60 |
Percent Of With Ischemic Heart Disease |
28 |
Percent Of With Osteoporosis |
12 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
57 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
6 |
Average HCC Risk Score Of Beneficiaries |
2.1682 |