National Provider Identifier [NPI]: |
1083698591 |
Last Name Of The Provider |
STRANIERO |
First Name Of The Provider |
NICHOLAS |
Middle Initial Of The Provider |
R |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
707 N MICHIGAN ST |
Street Address 2 Of The Provider |
STE. 102 |
City Of The Provider |
SOUTH BEND |
Zip Code Of The Provider |
466011067 |
State Code Of The Provider |
IN |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Rheumatology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
50 |
Number Of Services |
46044.5 |
Number Of Medicare Beneficiaries |
505 |
Total Submitted Charge Amount |
1443161.5 |
Total Medicare Allowed Amount |
901832.01 |
Total Medicare Payment Amount |
692653.8 |
Total Medicare Standardized Payment Amount |
703489.73 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
19 |
Number Of Drug Services |
43698.5 |
Number Of Medicare Beneficiaries With Drug Services |
234 |
Total Drug Submitted ChargeAmount |
1104034.5 |
Total Drug Medicare AllowedAmount |
732186.71 |
Total Drug Medicare PaymentAmount |
573643.25 |
Total Drug Medicare Standardized Payment Amount |
573643.25 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
31 |
Number Of Medical Services |
2346 |
Number Of Medicare Beneficiaries With Medical Services |
505 |
Total Medical Submitted Charge Amount |
339127 |
Total Medical Medicare Allowed Amount |
169645.3 |
Total Medical Medicare Payment Amount |
119010.55 |
Total Medical Medicare Standardized Payment Amount |
129846.48 |
Average Age Of Beneficiaries |
71 |
Number Of Beneficiaries Age Less65 |
85 |
Number Of Beneficiaries Age 65 to 74 |
226 |
Number Of Beneficiaries Age 75 to 84 |
143 |
Number Of Beneficiaries Age Greater 84 |
51 |
Number Of Female Beneficiaries |
369 |
Number Of Male Beneficiaries |
136 |
Number Of Non Hispanic White Beneficiaries |
468 |
Number Of Black or African American Beneficiaries |
26 |
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 |
446 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
59 |
Percent Of With Atrial Fibrillation |
9 |
Percent Of With Alzheimers Disease or Dementia |
4 |
Percent Of With Asthma |
8 |
Percent Of With Cancer |
9 |
Percent Of With Heart Failure |
12 |
Percent Of With Chronic Kidney Disease |
20 |
Percent Of With Chronic Obstructive Pulmonary Disease |
15 |
Percent Of With Depression |
20 |
Percent Of With Diabetes |
23 |
Percent Of With Hyperlipidemia |
47 |
Percent Of With Hypertension |
57 |
Percent Of With Ischemic Heart Disease |
30 |
Percent Of With Osteoporosis |
25 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
75 |
Percent Of With Schizophrenia Other PsychoticDisorders |
2 |
Percent Of With Stroke |
3 |
Average HCC Risk Score Of Beneficiaries |
1.2616 |