National Provider Identifier [NPI]: |
1245433234 |
Last Name Of The Provider |
STEHR |
First Name Of The Provider |
SEAN |
Middle Initial Of The Provider |
C |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
3311 PRESCOTT RD |
Street Address 2 Of The Provider |
SUITE 311 |
City Of The Provider |
ALEXANDRIA |
Zip Code Of The Provider |
713013900 |
State Code Of The Provider |
LA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Physical Medicine and Rehabilitation |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
66 |
Number Of Services |
3764 |
Number Of Medicare Beneficiaries |
462 |
Total Submitted Charge Amount |
1292671 |
Total Medicare Allowed Amount |
237493.09 |
Total Medicare Payment Amount |
178835.71 |
Total Medicare Standardized Payment Amount |
181469.91 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
8 |
Number Of Drug Services |
952 |
Number Of Medicare Beneficiaries With Drug Services |
84 |
Total Drug Submitted ChargeAmount |
10790 |
Total Drug Medicare AllowedAmount |
2646.66 |
Total Drug Medicare PaymentAmount |
1806.3 |
Total Drug Medicare Standardized Payment Amount |
1806.3 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
58 |
Number Of Medical Services |
2812 |
Number Of Medicare Beneficiaries With Medical Services |
462 |
Total Medical Submitted Charge Amount |
1281881 |
Total Medical Medicare Allowed Amount |
234846.43 |
Total Medical Medicare Payment Amount |
177029.41 |
Total Medical Medicare Standardized Payment Amount |
179663.61 |
Average Age Of Beneficiaries |
68 |
Number Of Beneficiaries Age Less65 |
135 |
Number Of Beneficiaries Age 65 to 74 |
195 |
Number Of Beneficiaries Age 75 to 84 |
106 |
Number Of Beneficiaries Age Greater 84 |
26 |
Number Of Female Beneficiaries |
299 |
Number Of Male Beneficiaries |
163 |
Number Of Non Hispanic White Beneficiaries |
388 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
336 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
126 |
Percent Of With Atrial Fibrillation |
8 |
Percent Of With Alzheimers Disease or Dementia |
7 |
Percent Of With Asthma |
9 |
Percent Of With Cancer |
8 |
Percent Of With Heart Failure |
14 |
Percent Of With Chronic Kidney Disease |
15 |
Percent Of With Chronic Obstructive Pulmonary Disease |
19 |
Percent Of With Depression |
30 |
Percent Of With Diabetes |
33 |
Percent Of With Hyperlipidemia |
57 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
48 |
Percent Of With Osteoporosis |
12 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
75 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
1.2 |