National Provider Identifier [NPI]: |
1245242411 |
Last Name Of The Provider |
STEINMETZ |
First Name Of The Provider |
ALLISON |
Middle Initial Of The Provider |
H |
Credentials Of The Provider |
MD |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1090 3RD ST |
Street Address 2 Of The Provider |
|
City Of The Provider |
SOUTH LAKE TAHOE |
Zip Code Of The Provider |
961503485 |
State Code Of The Provider |
CA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Internal Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
73 |
Number Of Services |
2796 |
Number Of Medicare Beneficiaries |
800 |
Total Submitted Charge Amount |
341793 |
Total Medicare Allowed Amount |
212789.24 |
Total Medicare Payment Amount |
150051.55 |
Total Medicare Standardized Payment Amount |
145576.71 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
13 |
Number Of Drug Services |
268 |
Number Of Medicare Beneficiaries With Drug Services |
156 |
Total Drug Submitted ChargeAmount |
11754 |
Total Drug Medicare AllowedAmount |
7291.41 |
Total Drug Medicare PaymentAmount |
7009.44 |
Total Drug Medicare Standardized Payment Amount |
7009.44 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
60 |
Number Of Medical Services |
2528 |
Number Of Medicare Beneficiaries With Medical Services |
799 |
Total Medical Submitted Charge Amount |
330039 |
Total Medical Medicare Allowed Amount |
205497.83 |
Total Medical Medicare Payment Amount |
143042.11 |
Total Medical Medicare Standardized Payment Amount |
138567.27 |
Average Age Of Beneficiaries |
71 |
Number Of Beneficiaries Age Less65 |
152 |
Number Of Beneficiaries Age 65 to 74 |
377 |
Number Of Beneficiaries Age 75 to 84 |
188 |
Number Of Beneficiaries Age Greater 84 |
83 |
Number Of Female Beneficiaries |
471 |
Number Of Male Beneficiaries |
329 |
Number Of Non Hispanic White Beneficiaries |
690 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
24 |
Number Of Hispanic Beneficiaries |
68 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
573 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
227 |
Percent Of With Atrial Fibrillation |
9 |
Percent Of With Alzheimers Disease or Dementia |
8 |
Percent Of With Asthma |
6 |
Percent Of With Cancer |
9 |
Percent Of With Heart Failure |
16 |
Percent Of With Chronic Kidney Disease |
21 |
Percent Of With Chronic Obstructive Pulmonary Disease |
15 |
Percent Of With Depression |
26 |
Percent Of With Diabetes |
23 |
Percent Of With Hyperlipidemia |
49 |
Percent Of With Hypertension |
56 |
Percent Of With Ischemic Heart Disease |
25 |
Percent Of With Osteoporosis |
9 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
31 |
Percent Of With Schizophrenia Other PsychoticDisorders |
4 |
Percent Of With Stroke |
3 |
Average HCC Risk Score Of Beneficiaries |
1.1078 |