National Provider Identifier [NPI]: |
1457313470 |
Last Name Of The Provider |
MESTER |
First Name Of The Provider |
STEPHEN |
Middle Initial Of The Provider |
W |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
635 EICHENFELD DR |
Street Address 2 Of The Provider |
|
City Of The Provider |
BRANDON |
Zip Code Of The Provider |
335115908 |
State Code Of The Provider |
FL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Cardiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
80 |
Number Of Services |
5360 |
Number Of Medicare Beneficiaries |
2207 |
Total Submitted Charge Amount |
1122529 |
Total Medicare Allowed Amount |
472438.51 |
Total Medicare Payment Amount |
348992.54 |
Total Medicare Standardized Payment Amount |
353331.96 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
1 |
Number Of Drug Services |
308 |
Number Of Medicare Beneficiaries With Drug Services |
77 |
Total Drug Submitted ChargeAmount |
33040 |
Total Drug Medicare AllowedAmount |
16294.92 |
Total Drug Medicare PaymentAmount |
12631.23 |
Total Drug Medicare Standardized Payment Amount |
12631.23 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
79 |
Number Of Medical Services |
5052 |
Number Of Medicare Beneficiaries With Medical Services |
2207 |
Total Medical Submitted Charge Amount |
1089489 |
Total Medical Medicare Allowed Amount |
456143.59 |
Total Medical Medicare Payment Amount |
336361.31 |
Total Medical Medicare Standardized Payment Amount |
340700.73 |
Average Age Of Beneficiaries |
75 |
Number Of Beneficiaries Age Less65 |
239 |
Number Of Beneficiaries Age 65 to 74 |
735 |
Number Of Beneficiaries Age 75 to 84 |
775 |
Number Of Beneficiaries Age Greater 84 |
458 |
Number Of Female Beneficiaries |
1101 |
Number Of Male Beneficiaries |
1106 |
Number Of Non Hispanic White Beneficiaries |
1873 |
Number Of Black or African American Beneficiaries |
136 |
Number Of AsianPacific Islander Beneficiaries |
23 |
Number Of Hispanic Beneficiaries |
149 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
1832 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
375 |
Percent Of With Atrial Fibrillation |
34 |
Percent Of With Alzheimers Disease or Dementia |
21 |
Percent Of With Asthma |
12 |
Percent Of With Cancer |
15 |
Percent Of With Heart Failure |
41 |
Percent Of With Chronic Kidney Disease |
44 |
Percent Of With Chronic Obstructive Pulmonary Disease |
33 |
Percent Of With Depression |
29 |
Percent Of With Diabetes |
39 |
Percent Of With Hyperlipidemia |
73 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
75 |
Percent Of With Osteoporosis |
11 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
46 |
Percent Of With Schizophrenia Other PsychoticDisorders |
5 |
Percent Of With Stroke |
12 |
Average HCC Risk Score Of Beneficiaries |
1.881 |