National Provider Identifier [NPI]: |
1245222777 |
Last Name Of The Provider |
FERRARA |
First Name Of The Provider |
ROBERT |
Middle Initial Of The Provider |
P |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
625 S NEW BALLAS RD |
Street Address 2 Of The Provider |
SUITE 2015 |
City Of The Provider |
SAINT LOUIS |
Zip Code Of The Provider |
631418253 |
State Code Of The Provider |
MO |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Cardiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
33 |
Number Of Services |
2309 |
Number Of Medicare Beneficiaries |
962 |
Total Submitted Charge Amount |
483625 |
Total Medicare Allowed Amount |
217087.48 |
Total Medicare Payment Amount |
160322.27 |
Total Medicare Standardized Payment Amount |
164059.87 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
0 |
Number Of Drug Services |
0 |
Number Of Medicare Beneficiaries With Drug Services |
0 |
Total Drug Submitted ChargeAmount |
0 |
Total Drug Medicare AllowedAmount |
0 |
Total Drug Medicare PaymentAmount |
0 |
Total Drug Medicare Standardized Payment Amount |
0 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
33 |
Number Of Medical Services |
2309 |
Number Of Medicare Beneficiaries With Medical Services |
962 |
Total Medical Submitted Charge Amount |
483625 |
Total Medical Medicare Allowed Amount |
217087.48 |
Total Medical Medicare Payment Amount |
160322.27 |
Total Medical Medicare Standardized Payment Amount |
164059.87 |
Average Age Of Beneficiaries |
75 |
Number Of Beneficiaries Age Less65 |
89 |
Number Of Beneficiaries Age 65 to 74 |
382 |
Number Of Beneficiaries Age 75 to 84 |
342 |
Number Of Beneficiaries Age Greater 84 |
149 |
Number Of Female Beneficiaries |
461 |
Number Of Male Beneficiaries |
501 |
Number Of Non Hispanic White Beneficiaries |
873 |
Number Of Black or African American Beneficiaries |
72 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
882 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
80 |
Percent Of With Atrial Fibrillation |
34 |
Percent Of With Alzheimers Disease or Dementia |
9 |
Percent Of With Asthma |
8 |
Percent Of With Cancer |
14 |
Percent Of With Heart Failure |
40 |
Percent Of With Chronic Kidney Disease |
41 |
Percent Of With Chronic Obstructive Pulmonary Disease |
17 |
Percent Of With Depression |
27 |
Percent Of With Diabetes |
35 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
69 |
Percent Of With Osteoporosis |
8 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
41 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
8 |
Average HCC Risk Score Of Beneficiaries |
1.6492 |