National Provider Identifier [NPI]: |
1598745481 |
Last Name Of The Provider |
DRESNER |
First Name Of The Provider |
STEVEN |
Middle Initial Of The Provider |
M |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
105 N KEENE ST |
Street Address 2 Of The Provider |
SUITE 201 |
City Of The Provider |
COLUMBIA |
Zip Code Of The Provider |
652018131 |
State Code Of The Provider |
MO |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Urology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
106 |
Number Of Services |
11184 |
Number Of Medicare Beneficiaries |
1075 |
Total Submitted Charge Amount |
1237187 |
Total Medicare Allowed Amount |
410904.28 |
Total Medicare Payment Amount |
307661.53 |
Total Medicare Standardized Payment Amount |
327391.65 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
6 |
Number Of Drug Services |
3687 |
Number Of Medicare Beneficiaries With Drug Services |
47 |
Total Drug Submitted ChargeAmount |
312180 |
Total Drug Medicare AllowedAmount |
116191.64 |
Total Drug Medicare PaymentAmount |
90036.86 |
Total Drug Medicare Standardized Payment Amount |
90036.86 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
100 |
Number Of Medical Services |
7497 |
Number Of Medicare Beneficiaries With Medical Services |
1075 |
Total Medical Submitted Charge Amount |
925007 |
Total Medical Medicare Allowed Amount |
294712.64 |
Total Medical Medicare Payment Amount |
217624.67 |
Total Medical Medicare Standardized Payment Amount |
237354.79 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
59 |
Number Of Beneficiaries Age 65 to 74 |
503 |
Number Of Beneficiaries Age 75 to 84 |
416 |
Number Of Beneficiaries Age Greater 84 |
97 |
Number Of Female Beneficiaries |
152 |
Number Of Male Beneficiaries |
923 |
Number Of Non Hispanic White Beneficiaries |
1038 |
Number Of Black or African American Beneficiaries |
16 |
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 |
1033 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
42 |
Percent Of With Atrial Fibrillation |
10 |
Percent Of With Alzheimers Disease or Dementia |
7 |
Percent Of With Asthma |
4 |
Percent Of With Cancer |
30 |
Percent Of With Heart Failure |
16 |
Percent Of With Chronic Kidney Disease |
18 |
Percent Of With Chronic Obstructive Pulmonary Disease |
12 |
Percent Of With Depression |
11 |
Percent Of With Diabetes |
29 |
Percent Of With Hyperlipidemia |
56 |
Percent Of With Hypertension |
65 |
Percent Of With Ischemic Heart Disease |
37 |
Percent Of With Osteoporosis |
4 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
41 |
Percent Of With Schizophrenia Other PsychoticDisorders |
2 |
Percent Of With Stroke |
3 |
Average HCC Risk Score Of Beneficiaries |
1.0127 |