National Provider Identifier [NPI]: |
1770630469 |
Last Name Of The Provider |
STEFFEN |
First Name Of The Provider |
RICHARD |
Middle Initial Of The Provider |
T |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
21 SPURS LN |
Street Address 2 Of The Provider |
STE 300 |
City Of The Provider |
SAN ANTONIO |
Zip Code Of The Provider |
782401679 |
State Code Of The Provider |
TX |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Orthopedic Surgery |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
61 |
Number Of Services |
4435 |
Number Of Medicare Beneficiaries |
488 |
Total Submitted Charge Amount |
723249.02 |
Total Medicare Allowed Amount |
347362.29 |
Total Medicare Payment Amount |
260282.22 |
Total Medicare Standardized Payment Amount |
278507 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
5 |
Number Of Drug Services |
2381 |
Number Of Medicare Beneficiaries With Drug Services |
142 |
Total Drug Submitted ChargeAmount |
82830 |
Total Drug Medicare AllowedAmount |
39974.69 |
Total Drug Medicare PaymentAmount |
31052.2 |
Total Drug Medicare Standardized Payment Amount |
31052.2 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
56 |
Number Of Medical Services |
2054 |
Number Of Medicare Beneficiaries With Medical Services |
488 |
Total Medical Submitted Charge Amount |
640419.02 |
Total Medical Medicare Allowed Amount |
307387.6 |
Total Medical Medicare Payment Amount |
229230.02 |
Total Medical Medicare Standardized Payment Amount |
247454.8 |
Average Age Of Beneficiaries |
72 |
Number Of Beneficiaries Age Less65 |
43 |
Number Of Beneficiaries Age 65 to 74 |
274 |
Number Of Beneficiaries Age 75 to 84 |
140 |
Number Of Beneficiaries Age Greater 84 |
31 |
Number Of Female Beneficiaries |
298 |
Number Of Male Beneficiaries |
190 |
Number Of Non Hispanic White Beneficiaries |
347 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
120 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
451 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
37 |
Percent Of With Atrial Fibrillation |
8 |
Percent Of With Alzheimers Disease or Dementia |
6 |
Percent Of With Asthma |
9 |
Percent Of With Cancer |
6 |
Percent Of With Heart Failure |
14 |
Percent Of With Chronic Kidney Disease |
22 |
Percent Of With Chronic Obstructive Pulmonary Disease |
8 |
Percent Of With Depression |
17 |
Percent Of With Diabetes |
33 |
Percent Of With Hyperlipidemia |
65 |
Percent Of With Hypertension |
73 |
Percent Of With Ischemic Heart Disease |
35 |
Percent Of With Osteoporosis |
9 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
75 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
0.9451 |