National Provider Identifier [NPI]: |
1366501363 |
Last Name Of The Provider |
STINGO |
First Name Of The Provider |
ANDREW |
Middle Initial Of The Provider |
J |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
2790 CLAY EDWARDS DR |
Street Address 2 Of The Provider |
SUITE 410 |
City Of The Provider |
N KANSAS CITY |
Zip Code Of The Provider |
641163276 |
State Code Of The Provider |
MO |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Nephrology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
52 |
Number Of Services |
24883 |
Number Of Medicare Beneficiaries |
798 |
Total Submitted Charge Amount |
4740440.7 |
Total Medicare Allowed Amount |
1353782.6 |
Total Medicare Payment Amount |
1049183.1 |
Total Medicare Standardized Payment Amount |
1142688.86 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
5 |
Number Of Drug Services |
21215 |
Number Of Medicare Beneficiaries With Drug Services |
321 |
Total Drug Submitted ChargeAmount |
53623.2 |
Total Drug Medicare AllowedAmount |
5323.6 |
Total Drug Medicare PaymentAmount |
4159.09 |
Total Drug Medicare Standardized Payment Amount |
4159.09 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
47 |
Number Of Medical Services |
3668 |
Number Of Medicare Beneficiaries With Medical Services |
798 |
Total Medical Submitted Charge Amount |
4686817.5 |
Total Medical Medicare Allowed Amount |
1348459 |
Total Medical Medicare Payment Amount |
1045024.01 |
Total Medical Medicare Standardized Payment Amount |
1138529.77 |
Average Age Of Beneficiaries |
67 |
Number Of Beneficiaries Age Less65 |
297 |
Number Of Beneficiaries Age 65 to 74 |
242 |
Number Of Beneficiaries Age 75 to 84 |
196 |
Number Of Beneficiaries Age Greater 84 |
63 |
Number Of Female Beneficiaries |
393 |
Number Of Male Beneficiaries |
405 |
Number Of Non Hispanic White Beneficiaries |
526 |
Number Of Black or African American Beneficiaries |
202 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
48 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
533 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
265 |
Percent Of With Atrial Fibrillation |
19 |
Percent Of With Alzheimers Disease or Dementia |
15 |
Percent Of With Asthma |
10 |
Percent Of With Cancer |
10 |
Percent Of With Heart Failure |
54 |
Percent Of With Chronic Kidney Disease |
75 |
Percent Of With Chronic Obstructive Pulmonary Disease |
27 |
Percent Of With Depression |
32 |
Percent Of With Diabetes |
66 |
Percent Of With Hyperlipidemia |
66 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
59 |
Percent Of With Osteoporosis |
7 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
37 |
Percent Of With Schizophrenia Other PsychoticDisorders |
6 |
Percent Of With Stroke |
8 |
Average HCC Risk Score Of Beneficiaries |
5.5607 |