National Provider Identifier [NPI]: |
1376574749 |
Last Name Of The Provider |
STEWART |
First Name Of The Provider |
RYAN |
Middle Initial Of The Provider |
W |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
3601 VISTA WAY |
Street Address 2 Of The Provider |
SUITE 201 |
City Of The Provider |
OCEANSIDE |
Zip Code Of The Provider |
920564559 |
State Code Of The Provider |
CA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Internal Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
37 |
Number Of Services |
2790 |
Number Of Medicare Beneficiaries |
435 |
Total Submitted Charge Amount |
211870.03 |
Total Medicare Allowed Amount |
176670.43 |
Total Medicare Payment Amount |
136112.79 |
Total Medicare Standardized Payment Amount |
130795.9 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
10 |
Number Of Drug Services |
666 |
Number Of Medicare Beneficiaries With Drug Services |
211 |
Total Drug Submitted ChargeAmount |
14419.28 |
Total Drug Medicare AllowedAmount |
11755.34 |
Total Drug Medicare PaymentAmount |
10167.99 |
Total Drug Medicare Standardized Payment Amount |
10167.99 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
27 |
Number Of Medical Services |
2124 |
Number Of Medicare Beneficiaries With Medical Services |
435 |
Total Medical Submitted Charge Amount |
197450.75 |
Total Medical Medicare Allowed Amount |
164915.09 |
Total Medical Medicare Payment Amount |
125944.8 |
Total Medical Medicare Standardized Payment Amount |
120627.91 |
Average Age Of Beneficiaries |
78 |
Number Of Beneficiaries Age Less65 |
|
Number Of Beneficiaries Age 65 to 74 |
164 |
Number Of Beneficiaries Age 75 to 84 |
158 |
Number Of Beneficiaries Age Greater 84 |
|
Number Of Female Beneficiaries |
228 |
Number Of Male Beneficiaries |
207 |
Number Of Non Hispanic White Beneficiaries |
405 |
Number Of Black or African American Beneficiaries |
|
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 |
|
Number Of Beneficiaries With Medicare Medicaid Entitlement |
|
Percent Of With Atrial Fibrillation |
17 |
Percent Of With Alzheimers Disease or Dementia |
7 |
Percent Of With Asthma |
|
Percent Of With Cancer |
13 |
Percent Of With Heart Failure |
14 |
Percent Of With Chronic Kidney Disease |
20 |
Percent Of With Chronic Obstructive Pulmonary Disease |
6 |
Percent Of With Depression |
8 |
Percent Of With Diabetes |
30 |
Percent Of With Hyperlipidemia |
36 |
Percent Of With Hypertension |
60 |
Percent Of With Ischemic Heart Disease |
29 |
Percent Of With Osteoporosis |
11 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
40 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
4 |
Average HCC Risk Score Of Beneficiaries |
1.0347 |