National Provider Identifier [NPI]: |
1144283722 |
Last Name Of The Provider |
STEELE |
First Name Of The Provider |
MICHAEL |
Middle Initial Of The Provider |
B |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
2620 WHEATON WAY |
Street Address 2 Of The Provider |
|
City Of The Provider |
BREMERTON |
Zip Code Of The Provider |
983103335 |
State Code Of The Provider |
WA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Internal Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
83 |
Number Of Services |
10331 |
Number Of Medicare Beneficiaries |
1431 |
Total Submitted Charge Amount |
447776 |
Total Medicare Allowed Amount |
407287.84 |
Total Medicare Payment Amount |
314300.93 |
Total Medicare Standardized Payment Amount |
318425.93 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
7 |
Number Of Drug Services |
415 |
Number Of Medicare Beneficiaries With Drug Services |
62 |
Total Drug Submitted ChargeAmount |
4763 |
Total Drug Medicare AllowedAmount |
4530.76 |
Total Drug Medicare PaymentAmount |
3891.05 |
Total Drug Medicare Standardized Payment Amount |
3891.05 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
76 |
Number Of Medical Services |
9916 |
Number Of Medicare Beneficiaries With Medical Services |
1431 |
Total Medical Submitted Charge Amount |
443013 |
Total Medical Medicare Allowed Amount |
402757.08 |
Total Medical Medicare Payment Amount |
310409.88 |
Total Medical Medicare Standardized Payment Amount |
314534.88 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
149 |
Number Of Beneficiaries Age 65 to 74 |
594 |
Number Of Beneficiaries Age 75 to 84 |
424 |
Number Of Beneficiaries Age Greater 84 |
264 |
Number Of Female Beneficiaries |
755 |
Number Of Male Beneficiaries |
676 |
Number Of Non Hispanic White Beneficiaries |
1280 |
Number Of Black or African American Beneficiaries |
17 |
Number Of AsianPacific Islander Beneficiaries |
53 |
Number Of Hispanic Beneficiaries |
37 |
Number Of American Indian Alaska Native Beneficiaries |
11 |
Number Of Beneficiaries With Race Not Else where Classified |
33 |
Number Of Beneficiaries With Medicare Only Entitlement |
1183 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
248 |
Percent Of With Atrial Fibrillation |
23 |
Percent Of With Alzheimers Disease or Dementia |
13 |
Percent Of With Asthma |
10 |
Percent Of With Cancer |
13 |
Percent Of With Heart Failure |
29 |
Percent Of With Chronic Kidney Disease |
29 |
Percent Of With Chronic Obstructive Pulmonary Disease |
21 |
Percent Of With Depression |
28 |
Percent Of With Diabetes |
35 |
Percent Of With Hyperlipidemia |
59 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
35 |
Percent Of With Osteoporosis |
10 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
33 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
9 |
Average HCC Risk Score Of Beneficiaries |
1.4423 |