National Provider Identifier [NPI]: |
1306844618 |
Last Name Of The Provider |
STCHUR |
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 |
1641 TAMIAMI TRL |
Street Address 2 Of The Provider |
STE 1 |
City Of The Provider |
PORT CHARLOTTE |
Zip Code Of The Provider |
339481042 |
State Code Of The Provider |
FL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Orthopedic Surgery |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
121 |
Number Of Services |
6135 |
Number Of Medicare Beneficiaries |
1043 |
Total Submitted Charge Amount |
600428.32 |
Total Medicare Allowed Amount |
555386.33 |
Total Medicare Payment Amount |
423065.12 |
Total Medicare Standardized Payment Amount |
418027.16 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
4 |
Number Of Drug Services |
2162 |
Number Of Medicare Beneficiaries With Drug Services |
367 |
Total Drug Submitted ChargeAmount |
47474.51 |
Total Drug Medicare AllowedAmount |
41405.98 |
Total Drug Medicare PaymentAmount |
31959.44 |
Total Drug Medicare Standardized Payment Amount |
31959.44 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
117 |
Number Of Medical Services |
3973 |
Number Of Medicare Beneficiaries With Medical Services |
1043 |
Total Medical Submitted Charge Amount |
552953.81 |
Total Medical Medicare Allowed Amount |
513980.35 |
Total Medical Medicare Payment Amount |
391105.68 |
Total Medical Medicare Standardized Payment Amount |
386067.72 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
70 |
Number Of Beneficiaries Age 65 to 74 |
551 |
Number Of Beneficiaries Age 75 to 84 |
308 |
Number Of Beneficiaries Age Greater 84 |
114 |
Number Of Female Beneficiaries |
548 |
Number Of Male Beneficiaries |
495 |
Number Of Non Hispanic White Beneficiaries |
975 |
Number Of Black or African American Beneficiaries |
29 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
18 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
989 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
54 |
Percent Of With Atrial Fibrillation |
13 |
Percent Of With Alzheimers Disease or Dementia |
10 |
Percent Of With Asthma |
9 |
Percent Of With Cancer |
11 |
Percent Of With Heart Failure |
16 |
Percent Of With Chronic Kidney Disease |
21 |
Percent Of With Chronic Obstructive Pulmonary Disease |
19 |
Percent Of With Depression |
19 |
Percent Of With Diabetes |
29 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
73 |
Percent Of With Ischemic Heart Disease |
46 |
Percent Of With Osteoporosis |
13 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
66 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
4 |
Average HCC Risk Score Of Beneficiaries |
1.1775 |