National Provider Identifier [NPI]: |
1437127495 |
Last Name Of The Provider |
STERN |
First Name Of The Provider |
MARK |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
6750 E BAYWOOD AVE |
Street Address 2 Of The Provider |
301 |
City Of The Provider |
MESA |
Zip Code Of The Provider |
852061749 |
State Code Of The Provider |
AZ |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Cardiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
45 |
Number Of Services |
4484 |
Number Of Medicare Beneficiaries |
1269 |
Total Submitted Charge Amount |
735788 |
Total Medicare Allowed Amount |
364634.82 |
Total Medicare Payment Amount |
272571.69 |
Total Medicare Standardized Payment Amount |
278416.15 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
1 |
Number Of Drug Services |
184 |
Number Of Medicare Beneficiaries With Drug Services |
46 |
Total Drug Submitted ChargeAmount |
19550 |
Total Drug Medicare AllowedAmount |
9741.73 |
Total Drug Medicare PaymentAmount |
7467.76 |
Total Drug Medicare Standardized Payment Amount |
7467.76 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
44 |
Number Of Medical Services |
4300 |
Number Of Medicare Beneficiaries With Medical Services |
1268 |
Total Medical Submitted Charge Amount |
716238 |
Total Medical Medicare Allowed Amount |
354893.09 |
Total Medical Medicare Payment Amount |
265103.93 |
Total Medical Medicare Standardized Payment Amount |
270948.39 |
Average Age Of Beneficiaries |
76 |
Number Of Beneficiaries Age Less65 |
60 |
Number Of Beneficiaries Age 65 to 74 |
521 |
Number Of Beneficiaries Age 75 to 84 |
453 |
Number Of Beneficiaries Age Greater 84 |
235 |
Number Of Female Beneficiaries |
570 |
Number Of Male Beneficiaries |
699 |
Number Of Non Hispanic White Beneficiaries |
1162 |
Number Of Black or African American Beneficiaries |
16 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
55 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
15 |
Number Of Beneficiaries With Medicare Only Entitlement |
1212 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
57 |
Percent Of With Atrial Fibrillation |
39 |
Percent Of With Alzheimers Disease or Dementia |
9 |
Percent Of With Asthma |
9 |
Percent Of With Cancer |
13 |
Percent Of With Heart Failure |
29 |
Percent Of With Chronic Kidney Disease |
31 |
Percent Of With Chronic Obstructive Pulmonary Disease |
17 |
Percent Of With Depression |
15 |
Percent Of With Diabetes |
37 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
75 |
Percent Of With Osteoporosis |
7 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
40 |
Percent Of With Schizophrenia Other PsychoticDisorders |
2 |
Percent Of With Stroke |
11 |
Average HCC Risk Score Of Beneficiaries |
1.4496 |