Medicare Facts for Dr. Stephanie J. Kielb, MD


National Provider Identifier [NPI]: 1720016462
Last Name Of The Provider KIELB
First Name Of The Provider STEPHANIE
Middle Initial Of The Provider
Credentials Of The Provider MD
Gender Of The Provider F
Entity Type Of The Provider I
Street Address 1 Of The Provider 680 N LAKE SHORE DR
Street Address 2 Of The Provider SUITE 1000
City Of The Provider CHICAGO
Zip Code Of The Provider 606114546
State Code Of The Provider IL
Country Code Of The Provider US
Provider Type Of The Provider Urology
Medicare Participation Indicator Y
Number Of HCPCS 109
Number Of Services 11708
Number Of Medicare Beneficiaries 688
Total Submitted Charge Amount 2042534
Total Medicare Allowed Amount 408855.97
Total Medicare Payment Amount 311609.99
Total Medicare Standardized Payment Amount 292033.77
Drug Suppress Indicator
Number Of HCPCS Associated With Drug Services 3
Number Of Drug Services 8308
Number Of Medicare Beneficiaries With Drug Services 44
Total Drug Submitted ChargeAmount 118955
Total Drug Medicare AllowedAmount 45670.76
Total Drug Medicare PaymentAmount 34774.55
Total Drug Medicare Standardized Payment Amount 34774.55
Medical SuppressIndicator
Number Of HCPCS Associated With MedicalServices 106
Number Of Medical Services 3400
Number Of Medicare Beneficiaries With Medical Services 687
Total Medical Submitted Charge Amount 1923579
Total Medical Medicare Allowed Amount 363185.21
Total Medical Medicare Payment Amount 276835.44
Total Medical Medicare Standardized Payment Amount 257259.22
Average Age Of Beneficiaries 66
Number Of Beneficiaries Age Less65 223
Number Of Beneficiaries Age 65 to 74 244
Number Of Beneficiaries Age 75 to 84 152
Number Of Beneficiaries Age Greater 84 69
Number Of Female Beneficiaries 476
Number Of Male Beneficiaries 212
Number Of Non Hispanic White Beneficiaries 460
Number Of Black or African American Beneficiaries 137
Number Of AsianPacific Islander Beneficiaries
Number Of Hispanic Beneficiaries 65
Number Of American Indian Alaska Native Beneficiaries
Number Of Beneficiaries With Race Not Else where Classified
Number Of Beneficiaries With Medicare Only Entitlement 473
Number Of Beneficiaries With Medicare Medicaid Entitlement 215
Percent Of With Atrial Fibrillation 9
Percent Of With Alzheimers Disease or Dementia 8
Percent Of With Asthma 9
Percent Of With Cancer 13
Percent Of With Heart Failure 17
Percent Of With Chronic Kidney Disease 30
Percent Of With Chronic Obstructive Pulmonary Disease 11
Percent Of With Depression 29
Percent Of With Diabetes 25
Percent Of With Hyperlipidemia 42
Percent Of With Hypertension 59
Percent Of With Ischemic Heart Disease 26
Percent Of With Osteoporosis 14
Percent Of With Rheumatoid Arthritis Osteoarthritis 40
Percent Of With Schizophrenia Other PsychoticDisorders 4
Percent Of With Stroke 7
Average HCC Risk Score Of Beneficiaries 1.6972

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