National Provider Identifier [NPI]: |
1962489872 |
Last Name Of The Provider |
STELJES |
First Name Of The Provider |
ALAN |
Middle Initial Of The Provider |
D |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
2839 SAINT ROSE PKWY |
Street Address 2 Of The Provider |
SUITE 160 |
City Of The Provider |
HENDERSON |
Zip Code Of The Provider |
890524848 |
State Code Of The Provider |
NV |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Cardiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
78 |
Number Of Services |
9029 |
Number Of Medicare Beneficiaries |
1066 |
Total Submitted Charge Amount |
1536161.47 |
Total Medicare Allowed Amount |
931779.4 |
Total Medicare Payment Amount |
687304.32 |
Total Medicare Standardized Payment Amount |
682438.59 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
4 |
Number Of Drug Services |
1496 |
Number Of Medicare Beneficiaries With Drug Services |
289 |
Total Drug Submitted ChargeAmount |
39856 |
Total Drug Medicare AllowedAmount |
25268.88 |
Total Drug Medicare PaymentAmount |
19045.77 |
Total Drug Medicare Standardized Payment Amount |
19045.77 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
74 |
Number Of Medical Services |
7533 |
Number Of Medicare Beneficiaries With Medical Services |
1066 |
Total Medical Submitted Charge Amount |
1496305.47 |
Total Medical Medicare Allowed Amount |
906510.52 |
Total Medical Medicare Payment Amount |
668258.55 |
Total Medical Medicare Standardized Payment Amount |
663392.82 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
59 |
Number Of Beneficiaries Age 65 to 74 |
504 |
Number Of Beneficiaries Age 75 to 84 |
386 |
Number Of Beneficiaries Age Greater 84 |
117 |
Number Of Female Beneficiaries |
492 |
Number Of Male Beneficiaries |
574 |
Number Of Non Hispanic White Beneficiaries |
922 |
Number Of Black or African American Beneficiaries |
52 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
38 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
27 |
Number Of Beneficiaries With Medicare Only Entitlement |
1013 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
53 |
Percent Of With Atrial Fibrillation |
20 |
Percent Of With Alzheimers Disease or Dementia |
7 |
Percent Of With Asthma |
10 |
Percent Of With Cancer |
12 |
Percent Of With Heart Failure |
20 |
Percent Of With Chronic Kidney Disease |
27 |
Percent Of With Chronic Obstructive Pulmonary Disease |
15 |
Percent Of With Depression |
14 |
Percent Of With Diabetes |
36 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
52 |
Percent Of With Osteoporosis |
9 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
35 |
Percent Of With Schizophrenia Other PsychoticDisorders |
2 |
Percent Of With Stroke |
9 |
Average HCC Risk Score Of Beneficiaries |
1.1991 |