National Provider Identifier [NPI]: |
1730207093 |
Last Name Of The Provider |
EWER |
First Name Of The Provider |
STEVEN |
Middle Initial Of The Provider |
M |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
600 HIGHLAND AVE |
Street Address 2 Of The Provider |
|
City Of The Provider |
MADISON |
Zip Code Of The Provider |
537920001 |
State Code Of The Provider |
WI |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Cardiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
65 |
Number Of Services |
2310 |
Number Of Medicare Beneficiaries |
1301 |
Total Submitted Charge Amount |
1390289 |
Total Medicare Allowed Amount |
164719.94 |
Total Medicare Payment Amount |
123332.56 |
Total Medicare Standardized Payment Amount |
127837.14 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
4 |
Number Of Drug Services |
137 |
Number Of Medicare Beneficiaries With Drug Services |
43 |
Total Drug Submitted ChargeAmount |
13738 |
Total Drug Medicare AllowedAmount |
7139.01 |
Total Drug Medicare PaymentAmount |
5603.5 |
Total Drug Medicare Standardized Payment Amount |
5603.5 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
61 |
Number Of Medical Services |
2173 |
Number Of Medicare Beneficiaries With Medical Services |
1301 |
Total Medical Submitted Charge Amount |
1376551 |
Total Medical Medicare Allowed Amount |
157580.93 |
Total Medical Medicare Payment Amount |
117729.06 |
Total Medical Medicare Standardized Payment Amount |
122233.64 |
Average Age Of Beneficiaries |
72 |
Number Of Beneficiaries Age Less65 |
205 |
Number Of Beneficiaries Age 65 to 74 |
522 |
Number Of Beneficiaries Age 75 to 84 |
374 |
Number Of Beneficiaries Age Greater 84 |
200 |
Number Of Female Beneficiaries |
663 |
Number Of Male Beneficiaries |
638 |
Number Of Non Hispanic White Beneficiaries |
1211 |
Number Of Black or African American Beneficiaries |
39 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
12 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
23 |
Number Of Beneficiaries With Medicare Only Entitlement |
1061 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
240 |
Percent Of With Atrial Fibrillation |
27 |
Percent Of With Alzheimers Disease or Dementia |
9 |
Percent Of With Asthma |
10 |
Percent Of With Cancer |
13 |
Percent Of With Heart Failure |
41 |
Percent Of With Chronic Kidney Disease |
38 |
Percent Of With Chronic Obstructive Pulmonary Disease |
17 |
Percent Of With Depression |
27 |
Percent Of With Diabetes |
36 |
Percent Of With Hyperlipidemia |
60 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
56 |
Percent Of With Osteoporosis |
10 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
36 |
Percent Of With Schizophrenia Other PsychoticDisorders |
4 |
Percent Of With Stroke |
7 |
Average HCC Risk Score Of Beneficiaries |
1.6222 |