National Provider Identifier [NPI]: |
1033265723 |
Last Name Of The Provider |
KESTER |
First Name Of The Provider |
STEVEN |
Middle Initial Of The Provider |
C |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
550 SW 3RD STREET |
Street Address 2 Of The Provider |
SUITE 305 |
City Of The Provider |
POMPANO BEACH |
Zip Code Of The Provider |
33060 |
State Code Of The Provider |
FL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Urology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
65 |
Number Of Services |
6593 |
Number Of Medicare Beneficiaries |
459 |
Total Submitted Charge Amount |
723761 |
Total Medicare Allowed Amount |
446706.24 |
Total Medicare Payment Amount |
348516.33 |
Total Medicare Standardized Payment Amount |
338400.2 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
6 |
Number Of Drug Services |
664 |
Number Of Medicare Beneficiaries With Drug Services |
44 |
Total Drug Submitted ChargeAmount |
35231 |
Total Drug Medicare AllowedAmount |
16273.69 |
Total Drug Medicare PaymentAmount |
12740.12 |
Total Drug Medicare Standardized Payment Amount |
12740.12 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
59 |
Number Of Medical Services |
5929 |
Number Of Medicare Beneficiaries With Medical Services |
459 |
Total Medical Submitted Charge Amount |
688530 |
Total Medical Medicare Allowed Amount |
430432.55 |
Total Medical Medicare Payment Amount |
335776.21 |
Total Medical Medicare Standardized Payment Amount |
325660.08 |
Average Age Of Beneficiaries |
76 |
Number Of Beneficiaries Age Less65 |
28 |
Number Of Beneficiaries Age 65 to 74 |
175 |
Number Of Beneficiaries Age 75 to 84 |
156 |
Number Of Beneficiaries Age Greater 84 |
100 |
Number Of Female Beneficiaries |
112 |
Number Of Male Beneficiaries |
347 |
Number Of Non Hispanic White Beneficiaries |
399 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
29 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
399 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
60 |
Percent Of With Atrial Fibrillation |
14 |
Percent Of With Alzheimers Disease or Dementia |
10 |
Percent Of With Asthma |
7 |
Percent Of With Cancer |
20 |
Percent Of With Heart Failure |
16 |
Percent Of With Chronic Kidney Disease |
30 |
Percent Of With Chronic Obstructive Pulmonary Disease |
13 |
Percent Of With Depression |
19 |
Percent Of With Diabetes |
32 |
Percent Of With Hyperlipidemia |
68 |
Percent Of With Hypertension |
74 |
Percent Of With Ischemic Heart Disease |
45 |
Percent Of With Osteoporosis |
9 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
39 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
6 |
Average HCC Risk Score Of Beneficiaries |
1.2943 |