National Provider Identifier [NPI]: |
1356349609 |
Last Name Of The Provider |
PIENING |
First Name Of The Provider |
KURT |
Middle Initial Of The Provider |
A |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
201 BJC SAINT PETERS DR |
Street Address 2 Of The Provider |
SUITE 100 |
City Of The Provider |
SAINT PETERS |
Zip Code Of The Provider |
633763091 |
State Code Of The Provider |
MO |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Internal Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
43 |
Number Of Services |
5410 |
Number Of Medicare Beneficiaries |
839 |
Total Submitted Charge Amount |
302169.91 |
Total Medicare Allowed Amount |
299380.4 |
Total Medicare Payment Amount |
231894.54 |
Total Medicare Standardized Payment Amount |
237927.76 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
8 |
Number Of Drug Services |
2125 |
Number Of Medicare Beneficiaries With Drug Services |
92 |
Total Drug Submitted ChargeAmount |
36918.09 |
Total Drug Medicare AllowedAmount |
36912.83 |
Total Drug Medicare PaymentAmount |
29573.91 |
Total Drug Medicare Standardized Payment Amount |
29573.91 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
35 |
Number Of Medical Services |
3285 |
Number Of Medicare Beneficiaries With Medical Services |
839 |
Total Medical Submitted Charge Amount |
265251.82 |
Total Medical Medicare Allowed Amount |
262467.57 |
Total Medical Medicare Payment Amount |
202320.63 |
Total Medical Medicare Standardized Payment Amount |
208353.85 |
Average Age Of Beneficiaries |
76 |
Number Of Beneficiaries Age Less65 |
41 |
Number Of Beneficiaries Age 65 to 74 |
342 |
Number Of Beneficiaries Age 75 to 84 |
308 |
Number Of Beneficiaries Age Greater 84 |
148 |
Number Of Female Beneficiaries |
482 |
Number Of Male Beneficiaries |
357 |
Number Of Non Hispanic White Beneficiaries |
815 |
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 |
808 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
31 |
Percent Of With Atrial Fibrillation |
15 |
Percent Of With Alzheimers Disease or Dementia |
17 |
Percent Of With Asthma |
5 |
Percent Of With Cancer |
11 |
Percent Of With Heart Failure |
18 |
Percent Of With Chronic Kidney Disease |
22 |
Percent Of With Chronic Obstructive Pulmonary Disease |
16 |
Percent Of With Depression |
13 |
Percent Of With Diabetes |
27 |
Percent Of With Hyperlipidemia |
47 |
Percent Of With Hypertension |
62 |
Percent Of With Ischemic Heart Disease |
33 |
Percent Of With Osteoporosis |
8 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
44 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
7 |
Average HCC Risk Score Of Beneficiaries |
1.1461 |