National Provider Identifier [NPI]: |
1659403764 |
Last Name Of The Provider |
FOSTER |
First Name Of The Provider |
ROBERT |
Middle Initial Of The Provider |
S |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1715 S LAFAYETTE AVE |
Street Address 2 Of The Provider |
|
City Of The Provider |
SEDALIA |
Zip Code Of The Provider |
653017541 |
State Code Of The Provider |
MO |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Urology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
106 |
Number Of Services |
16982 |
Number Of Medicare Beneficiaries |
1027 |
Total Submitted Charge Amount |
912093.25 |
Total Medicare Allowed Amount |
450337.82 |
Total Medicare Payment Amount |
339200.52 |
Total Medicare Standardized Payment Amount |
359860.55 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
4 |
Number Of Drug Services |
8619 |
Number Of Medicare Beneficiaries With Drug Services |
52 |
Total Drug Submitted ChargeAmount |
160635.25 |
Total Drug Medicare AllowedAmount |
81747.71 |
Total Drug Medicare PaymentAmount |
63328.76 |
Total Drug Medicare Standardized Payment Amount |
63328.76 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
102 |
Number Of Medical Services |
8363 |
Number Of Medicare Beneficiaries With Medical Services |
1027 |
Total Medical Submitted Charge Amount |
751458 |
Total Medical Medicare Allowed Amount |
368590.11 |
Total Medical Medicare Payment Amount |
275871.76 |
Total Medical Medicare Standardized Payment Amount |
296531.79 |
Average Age Of Beneficiaries |
75 |
Number Of Beneficiaries Age Less65 |
116 |
Number Of Beneficiaries Age 65 to 74 |
331 |
Number Of Beneficiaries Age 75 to 84 |
403 |
Number Of Beneficiaries Age Greater 84 |
177 |
Number Of Female Beneficiaries |
233 |
Number Of Male Beneficiaries |
794 |
Number Of Non Hispanic White Beneficiaries |
981 |
Number Of Black or African American Beneficiaries |
24 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
11 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
871 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
156 |
Percent Of With Atrial Fibrillation |
13 |
Percent Of With Alzheimers Disease or Dementia |
13 |
Percent Of With Asthma |
6 |
Percent Of With Cancer |
26 |
Percent Of With Heart Failure |
20 |
Percent Of With Chronic Kidney Disease |
21 |
Percent Of With Chronic Obstructive Pulmonary Disease |
22 |
Percent Of With Depression |
22 |
Percent Of With Diabetes |
31 |
Percent Of With Hyperlipidemia |
48 |
Percent Of With Hypertension |
68 |
Percent Of With Ischemic Heart Disease |
45 |
Percent Of With Osteoporosis |
4 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
46 |
Percent Of With Schizophrenia Other PsychoticDisorders |
5 |
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
1.2919 |