National Provider Identifier [NPI]: |
1821016064 |
Last Name Of The Provider |
KRASNOFF |
First Name Of The Provider |
MARK |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1035 BELLEVUE AVE |
Street Address 2 Of The Provider |
SUITE 400 |
City Of The Provider |
SAINT LOUIS |
Zip Code Of The Provider |
631171854 |
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 |
55 |
Number Of Services |
1679 |
Number Of Medicare Beneficiaries |
390 |
Total Submitted Charge Amount |
164479 |
Total Medicare Allowed Amount |
133632.74 |
Total Medicare Payment Amount |
94551.62 |
Total Medicare Standardized Payment Amount |
95860.16 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
4 |
Number Of Drug Services |
17 |
Number Of Medicare Beneficiaries With Drug Services |
14 |
Total Drug Submitted ChargeAmount |
646 |
Total Drug Medicare AllowedAmount |
381.26 |
Total Drug Medicare PaymentAmount |
359.63 |
Total Drug Medicare Standardized Payment Amount |
359.63 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
51 |
Number Of Medical Services |
1662 |
Number Of Medicare Beneficiaries With Medical Services |
390 |
Total Medical Submitted Charge Amount |
163833 |
Total Medical Medicare Allowed Amount |
133251.48 |
Total Medical Medicare Payment Amount |
94191.99 |
Total Medical Medicare Standardized Payment Amount |
95500.53 |
Average Age Of Beneficiaries |
76 |
Number Of Beneficiaries Age Less65 |
35 |
Number Of Beneficiaries Age 65 to 74 |
149 |
Number Of Beneficiaries Age 75 to 84 |
125 |
Number Of Beneficiaries Age Greater 84 |
81 |
Number Of Female Beneficiaries |
225 |
Number Of Male Beneficiaries |
165 |
Number Of Non Hispanic White Beneficiaries |
286 |
Number Of Black or African American Beneficiaries |
93 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
0 |
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
346 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
44 |
Percent Of With Atrial Fibrillation |
13 |
Percent Of With Alzheimers Disease or Dementia |
11 |
Percent Of With Asthma |
11 |
Percent Of With Cancer |
13 |
Percent Of With Heart Failure |
17 |
Percent Of With Chronic Kidney Disease |
23 |
Percent Of With Chronic Obstructive Pulmonary Disease |
12 |
Percent Of With Depression |
23 |
Percent Of With Diabetes |
33 |
Percent Of With Hyperlipidemia |
61 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
27 |
Percent Of With Osteoporosis |
8 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
47 |
Percent Of With Schizophrenia Other PsychoticDisorders |
4 |
Percent Of With Stroke |
6 |
Average HCC Risk Score Of Beneficiaries |
1.2819 |