National Provider Identifier [NPI]: |
1043292840 |
Last Name Of The Provider |
STUART |
First Name Of The Provider |
MEREDITH |
Middle Initial Of The Provider |
B |
Credentials Of The Provider |
DPM |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
16087 MANCHESTER RD |
Street Address 2 Of The Provider |
|
City Of The Provider |
ELLISVILLE |
Zip Code Of The Provider |
630112103 |
State Code Of The Provider |
MO |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Podiatry |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
37 |
Number Of Services |
1211 |
Number Of Medicare Beneficiaries |
346 |
Total Submitted Charge Amount |
102070 |
Total Medicare Allowed Amount |
64643.36 |
Total Medicare Payment Amount |
42416.28 |
Total Medicare Standardized Payment Amount |
44442.3 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
1 |
Number Of Drug Services |
63 |
Number Of Medicare Beneficiaries With Drug Services |
45 |
Total Drug Submitted ChargeAmount |
630 |
Total Drug Medicare AllowedAmount |
112.17 |
Total Drug Medicare PaymentAmount |
80.19 |
Total Drug Medicare Standardized Payment Amount |
80.19 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
36 |
Number Of Medical Services |
1148 |
Number Of Medicare Beneficiaries With Medical Services |
346 |
Total Medical Submitted Charge Amount |
101440 |
Total Medical Medicare Allowed Amount |
64531.19 |
Total Medical Medicare Payment Amount |
42336.09 |
Total Medical Medicare Standardized Payment Amount |
44362.11 |
Average Age Of Beneficiaries |
78 |
Number Of Beneficiaries Age Less65 |
27 |
Number Of Beneficiaries Age 65 to 74 |
98 |
Number Of Beneficiaries Age 75 to 84 |
95 |
Number Of Beneficiaries Age Greater 84 |
126 |
Number Of Female Beneficiaries |
234 |
Number Of Male Beneficiaries |
112 |
Number Of Non Hispanic White Beneficiaries |
265 |
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 |
270 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
76 |
Percent Of With Atrial Fibrillation |
17 |
Percent Of With Alzheimers Disease or Dementia |
32 |
Percent Of With Asthma |
10 |
Percent Of With Cancer |
12 |
Percent Of With Heart Failure |
40 |
Percent Of With Chronic Kidney Disease |
41 |
Percent Of With Chronic Obstructive Pulmonary Disease |
17 |
Percent Of With Depression |
36 |
Percent Of With Diabetes |
43 |
Percent Of With Hyperlipidemia |
60 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
49 |
Percent Of With Osteoporosis |
15 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
52 |
Percent Of With Schizophrenia Other PsychoticDisorders |
8 |
Percent Of With Stroke |
9 |
Average HCC Risk Score Of Beneficiaries |
1.8131 |