Medicare Facts for Dr. Steven J. Merkel, MD


National Provider Identifier [NPI]: 1427026616
Last Name Of The Provider MERKEL
First Name Of The Provider STEVEN
Middle Initial Of The Provider J
Credentials Of The Provider M.D.
Gender Of The Provider M
Entity Type Of The Provider I
Street Address 1 Of The Provider 98 STATE ST
Street Address 2 Of The Provider
City Of The Provider PROCTORVILLE
Zip Code Of The Provider 456698163
State Code Of The Provider OH
Country Code Of The Provider US
Provider Type Of The Provider Family Practice
Medicare Participation Indicator Y
Number Of HCPCS 38
Number Of Services 900
Number Of Medicare Beneficiaries 183
Total Submitted Charge Amount 112598
Total Medicare Allowed Amount 58726.18
Total Medicare Payment Amount 39985.56
Total Medicare Standardized Payment Amount 42774.42
Drug Suppress Indicator
Number Of HCPCS Associated With Drug Services 8
Number Of Drug Services 64
Number Of Medicare Beneficiaries With Drug Services 53
Total Drug Submitted ChargeAmount 1563
Total Drug Medicare AllowedAmount 906.28
Total Drug Medicare PaymentAmount 879.83
Total Drug Medicare Standardized Payment Amount 879.83
Medical SuppressIndicator
Number Of HCPCS Associated With MedicalServices 30
Number Of Medical Services 836
Number Of Medicare Beneficiaries With Medical Services 183
Total Medical Submitted Charge Amount 111035
Total Medical Medicare Allowed Amount 57819.9
Total Medical Medicare Payment Amount 39105.73
Total Medical Medicare Standardized Payment Amount 41894.59
Average Age Of Beneficiaries 64
Number Of Beneficiaries Age Less65 83
Number Of Beneficiaries Age 65 to 74 53
Number Of Beneficiaries Age 75 to 84
Number Of Beneficiaries Age Greater 84
Number Of Female Beneficiaries 108
Number Of Male Beneficiaries 75
Number Of Non Hispanic White Beneficiaries 172
Number Of Black or African American Beneficiaries
Number Of AsianPacific Islander Beneficiaries 0
Number Of Hispanic Beneficiaries
Number Of American Indian Alaska Native Beneficiaries 0
Number Of Beneficiaries With Race Not Else where Classified
Number Of Beneficiaries With Medicare Only Entitlement 88
Number Of Beneficiaries With Medicare Medicaid Entitlement 95
Percent Of With Atrial Fibrillation
Percent Of With Alzheimers Disease or Dementia 6
Percent Of With Asthma 11
Percent Of With Cancer
Percent Of With Heart Failure 17
Percent Of With Chronic Kidney Disease 22
Percent Of With Chronic Obstructive Pulmonary Disease 35
Percent Of With Depression 34
Percent Of With Diabetes 42
Percent Of With Hyperlipidemia 50
Percent Of With Hypertension 73
Percent Of With Ischemic Heart Disease 37
Percent Of With Osteoporosis 6
Percent Of With Rheumatoid Arthritis Osteoarthritis 44
Percent Of With Schizophrenia Other PsychoticDisorders 7
Percent Of With Stroke
Average HCC Risk Score Of Beneficiaries 1.3019

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