National Provider Identifier [NPI]: |
1972589711 |
Last Name Of The Provider |
LINSENBARDT |
First Name Of The Provider |
STEVE |
Middle Initial Of The Provider |
T |
Credentials Of The Provider |
D.O. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1241 W STADIUM BLVD |
Street Address 2 Of The Provider |
|
City Of The Provider |
JEFFERSON CITY |
Zip Code Of The Provider |
651096023 |
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 |
106 |
Number Of Services |
8949 |
Number Of Medicare Beneficiaries |
522 |
Total Submitted Charge Amount |
657248 |
Total Medicare Allowed Amount |
379539.51 |
Total Medicare Payment Amount |
298310.28 |
Total Medicare Standardized Payment Amount |
316192.48 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
13 |
Number Of Drug Services |
1043 |
Number Of Medicare Beneficiaries With Drug Services |
300 |
Total Drug Submitted ChargeAmount |
55762 |
Total Drug Medicare AllowedAmount |
35526.36 |
Total Drug Medicare PaymentAmount |
33507.46 |
Total Drug Medicare Standardized Payment Amount |
33507.46 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
93 |
Number Of Medical Services |
7906 |
Number Of Medicare Beneficiaries With Medical Services |
522 |
Total Medical Submitted Charge Amount |
601486 |
Total Medical Medicare Allowed Amount |
344013.15 |
Total Medical Medicare Payment Amount |
264802.82 |
Total Medical Medicare Standardized Payment Amount |
282685.02 |
Average Age Of Beneficiaries |
76 |
Number Of Beneficiaries Age Less65 |
28 |
Number Of Beneficiaries Age 65 to 74 |
213 |
Number Of Beneficiaries Age 75 to 84 |
183 |
Number Of Beneficiaries Age Greater 84 |
98 |
Number Of Female Beneficiaries |
237 |
Number Of Male Beneficiaries |
285 |
Number Of Non Hispanic White Beneficiaries |
503 |
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 |
475 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
47 |
Percent Of With Atrial Fibrillation |
14 |
Percent Of With Alzheimers Disease or Dementia |
12 |
Percent Of With Asthma |
3 |
Percent Of With Cancer |
15 |
Percent Of With Heart Failure |
21 |
Percent Of With Chronic Kidney Disease |
21 |
Percent Of With Chronic Obstructive Pulmonary Disease |
19 |
Percent Of With Depression |
18 |
Percent Of With Diabetes |
42 |
Percent Of With Hyperlipidemia |
69 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
39 |
Percent Of With Osteoporosis |
9 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
60 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
8 |
Average HCC Risk Score Of Beneficiaries |
1.2429 |