National Provider Identifier [NPI]: |
1598738262 |
Last Name Of The Provider |
BAAK |
First Name Of The Provider |
STEVEN |
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 |
1120 SHACKELFORD RD |
Street Address 2 Of The Provider |
|
City Of The Provider |
FLORISSANT |
Zip Code Of The Provider |
630314369 |
State Code Of The Provider |
MO |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Rheumatology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
60 |
Number Of Services |
2808 |
Number Of Medicare Beneficiaries |
687 |
Total Submitted Charge Amount |
190404.5 |
Total Medicare Allowed Amount |
138683.11 |
Total Medicare Payment Amount |
98956.66 |
Total Medicare Standardized Payment Amount |
97988.37 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
7 |
Number Of Drug Services |
352 |
Number Of Medicare Beneficiaries With Drug Services |
29 |
Total Drug Submitted ChargeAmount |
12052 |
Total Drug Medicare AllowedAmount |
5239.54 |
Total Drug Medicare PaymentAmount |
4104.94 |
Total Drug Medicare Standardized Payment Amount |
4104.94 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
53 |
Number Of Medical Services |
2456 |
Number Of Medicare Beneficiaries With Medical Services |
687 |
Total Medical Submitted Charge Amount |
178352.5 |
Total Medical Medicare Allowed Amount |
133443.57 |
Total Medical Medicare Payment Amount |
94851.72 |
Total Medical Medicare Standardized Payment Amount |
93883.43 |
Average Age Of Beneficiaries |
70 |
Number Of Beneficiaries Age Less65 |
159 |
Number Of Beneficiaries Age 65 to 74 |
286 |
Number Of Beneficiaries Age 75 to 84 |
171 |
Number Of Beneficiaries Age Greater 84 |
71 |
Number Of Female Beneficiaries |
532 |
Number Of Male Beneficiaries |
155 |
Number Of Non Hispanic White Beneficiaries |
448 |
Number Of Black or African American Beneficiaries |
226 |
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 |
557 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
130 |
Percent Of With Atrial Fibrillation |
9 |
Percent Of With Alzheimers Disease or Dementia |
8 |
Percent Of With Asthma |
11 |
Percent Of With Cancer |
8 |
Percent Of With Heart Failure |
19 |
Percent Of With Chronic Kidney Disease |
26 |
Percent Of With Chronic Obstructive Pulmonary Disease |
20 |
Percent Of With Depression |
24 |
Percent Of With Diabetes |
30 |
Percent Of With Hyperlipidemia |
53 |
Percent Of With Hypertension |
68 |
Percent Of With Ischemic Heart Disease |
33 |
Percent Of With Osteoporosis |
21 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
70 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
6 |
Average HCC Risk Score Of Beneficiaries |
1.5812 |