National Provider Identifier [NPI]: |
1902896913 |
Last Name Of The Provider |
STRINGAM |
First Name Of The Provider |
STANLEY |
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 |
215 E HAWAII AVE |
Street Address 2 Of The Provider |
|
City Of The Provider |
NAMPA |
Zip Code Of The Provider |
836866011 |
State Code Of The Provider |
ID |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Internal Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
129 |
Number Of Services |
7421 |
Number Of Medicare Beneficiaries |
457 |
Total Submitted Charge Amount |
429891.92 |
Total Medicare Allowed Amount |
180632.02 |
Total Medicare Payment Amount |
136115.86 |
Total Medicare Standardized Payment Amount |
147398.92 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
9 |
Number Of Drug Services |
175 |
Number Of Medicare Beneficiaries With Drug Services |
79 |
Total Drug Submitted ChargeAmount |
10500.87 |
Total Drug Medicare AllowedAmount |
9041.86 |
Total Drug Medicare PaymentAmount |
8664.39 |
Total Drug Medicare Standardized Payment Amount |
8664.39 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
120 |
Number Of Medical Services |
7246 |
Number Of Medicare Beneficiaries With Medical Services |
457 |
Total Medical Submitted Charge Amount |
419391.05 |
Total Medical Medicare Allowed Amount |
171590.16 |
Total Medical Medicare Payment Amount |
127451.47 |
Total Medical Medicare Standardized Payment Amount |
138734.53 |
Average Age Of Beneficiaries |
77 |
Number Of Beneficiaries Age Less65 |
34 |
Number Of Beneficiaries Age 65 to 74 |
155 |
Number Of Beneficiaries Age 75 to 84 |
161 |
Number Of Beneficiaries Age Greater 84 |
107 |
Number Of Female Beneficiaries |
248 |
Number Of Male Beneficiaries |
209 |
Number Of Non Hispanic White Beneficiaries |
433 |
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 |
404 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
53 |
Percent Of With Atrial Fibrillation |
28 |
Percent Of With Alzheimers Disease or Dementia |
9 |
Percent Of With Asthma |
6 |
Percent Of With Cancer |
9 |
Percent Of With Heart Failure |
20 |
Percent Of With Chronic Kidney Disease |
25 |
Percent Of With Chronic Obstructive Pulmonary Disease |
16 |
Percent Of With Depression |
27 |
Percent Of With Diabetes |
41 |
Percent Of With Hyperlipidemia |
63 |
Percent Of With Hypertension |
72 |
Percent Of With Ischemic Heart Disease |
27 |
Percent Of With Osteoporosis |
11 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
41 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
1.2765 |