National Provider Identifier [NPI]: |
1831202274 |
Last Name Of The Provider |
SCIORTINO |
First Name Of The Provider |
WILLIAM |
Middle Initial Of The Provider |
J |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
2900 LEMAY FERRY RD |
Street Address 2 Of The Provider |
SUITE 120 |
City Of The Provider |
SAINT LOUIS |
Zip Code Of The Provider |
631253900 |
State Code Of The Provider |
MO |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Ophthalmology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
22 |
Number Of Services |
2359 |
Number Of Medicare Beneficiaries |
1172 |
Total Submitted Charge Amount |
845938 |
Total Medicare Allowed Amount |
297877.94 |
Total Medicare Payment Amount |
206969.28 |
Total Medicare Standardized Payment Amount |
212934.84 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
0 |
Number Of Drug Services |
0 |
Number Of Medicare Beneficiaries With Drug Services |
0 |
Total Drug Submitted ChargeAmount |
0 |
Total Drug Medicare AllowedAmount |
0 |
Total Drug Medicare PaymentAmount |
0 |
Total Drug Medicare Standardized Payment Amount |
0 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
22 |
Number Of Medical Services |
2359 |
Number Of Medicare Beneficiaries With Medical Services |
1172 |
Total Medical Submitted Charge Amount |
845938 |
Total Medical Medicare Allowed Amount |
297877.94 |
Total Medical Medicare Payment Amount |
206969.28 |
Total Medical Medicare Standardized Payment Amount |
212934.84 |
Average Age Of Beneficiaries |
76 |
Number Of Beneficiaries Age Less65 |
117 |
Number Of Beneficiaries Age 65 to 74 |
385 |
Number Of Beneficiaries Age 75 to 84 |
449 |
Number Of Beneficiaries Age Greater 84 |
221 |
Number Of Female Beneficiaries |
731 |
Number Of Male Beneficiaries |
441 |
Number Of Non Hispanic White Beneficiaries |
1076 |
Number Of Black or African American Beneficiaries |
64 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
11 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
1000 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
172 |
Percent Of With Atrial Fibrillation |
12 |
Percent Of With Alzheimers Disease or Dementia |
10 |
Percent Of With Asthma |
6 |
Percent Of With Cancer |
10 |
Percent Of With Heart Failure |
19 |
Percent Of With Chronic Kidney Disease |
23 |
Percent Of With Chronic Obstructive Pulmonary Disease |
13 |
Percent Of With Depression |
23 |
Percent Of With Diabetes |
34 |
Percent Of With Hyperlipidemia |
58 |
Percent Of With Hypertension |
72 |
Percent Of With Ischemic Heart Disease |
32 |
Percent Of With Osteoporosis |
10 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
37 |
Percent Of With Schizophrenia Other PsychoticDisorders |
4 |
Percent Of With Stroke |
4 |
Average HCC Risk Score Of Beneficiaries |
1.2647 |