| National Provider Identifier [NPI]: | 1821080029 |
| Last Name Of The Provider | KEIM |
| First Name Of The Provider | STEPHEN |
| Middle Initial Of The Provider | G |
| Credentials Of The Provider | M.D. |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 106 MILFORD ST |
| Street Address 2 Of The Provider | SUITE 605 |
| City Of The Provider | SALISBURY |
| Zip Code Of The Provider | 218046953 |
| State Code Of The Provider | MD |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Cardiology |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 106 |
| Number Of Services | 10623 |
| Number Of Medicare Beneficiaries | 2726 |
| Total Submitted Charge Amount | 1572792.9 |
| Total Medicare Allowed Amount | 992731.15 |
| Total Medicare Payment Amount | 753297.32 |
| Total Medicare Standardized Payment Amount | 742680.49 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 1 |
| Number Of Drug Services | 1084 |
| Number Of Medicare Beneficiaries With Drug Services | 271 |
| Total Drug Submitted ChargeAmount | 66774.4 |
| Total Drug Medicare AllowedAmount | 57375.28 |
| Total Drug Medicare PaymentAmount | 44695.39 |
| Total Drug Medicare Standardized Payment Amount | 44695.39 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 105 |
| Number Of Medical Services | 9539 |
| Number Of Medicare Beneficiaries With Medical Services | 2725 |
| Total Medical Submitted Charge Amount | 1506018.5 |
| Total Medical Medicare Allowed Amount | 935355.87 |
| Total Medical Medicare Payment Amount | 708601.93 |
| Total Medical Medicare Standardized Payment Amount | 697985.1 |
| Average Age Of Beneficiaries | 75 |
| Number Of Beneficiaries Age Less65 | 252 |
| Number Of Beneficiaries Age 65 to 74 | 1036 |
| Number Of Beneficiaries Age 75 to 84 | 1048 |
| Number Of Beneficiaries Age Greater 84 | 390 |
| Number Of Female Beneficiaries | 1214 |
| Number Of Male Beneficiaries | 1512 |
| Number Of Non Hispanic White Beneficiaries | 2400 |
| Number Of Black or African American Beneficiaries | 285 |
| Number Of AsianPacific Islander Beneficiaries | |
| Number Of Hispanic Beneficiaries | 24 |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | |
| Number Of Beneficiaries With Medicare Only Entitlement | 2375 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 351 |
| Percent Of With Atrial Fibrillation | 41 |
| Percent Of With Alzheimers Disease or Dementia | 12 |
| Percent Of With Asthma | 7 |
| Percent Of With Cancer | 11 |
| Percent Of With Heart Failure | 40 |
| Percent Of With Chronic Kidney Disease | 35 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 22 |
| Percent Of With Depression | 16 |
| Percent Of With Diabetes | 40 |
| Percent Of With Hyperlipidemia | 75 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 65 |
| Percent Of With Osteoporosis | 5 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 36 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 3 |
| Percent Of With Stroke | 11 |
| Average HCC Risk Score Of Beneficiaries | 1.6374 |