National Provider Identifier [NPI]: |
1376563734 |
Last Name Of The Provider |
CHTEINGARDT |
First Name Of The Provider |
IRINA |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
MD |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
6770 MAYFIELD RD |
Street Address 2 Of The Provider |
SUITE 425 |
City Of The Provider |
MAYFIELD HTS |
Zip Code Of The Provider |
441242299 |
State Code Of The Provider |
OH |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Internal Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
38 |
Number Of Services |
3435 |
Number Of Medicare Beneficiaries |
660 |
Total Submitted Charge Amount |
369485 |
Total Medicare Allowed Amount |
304461.1 |
Total Medicare Payment Amount |
227990.19 |
Total Medicare Standardized Payment Amount |
233993.36 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
5 |
Number Of Drug Services |
106 |
Number Of Medicare Beneficiaries With Drug Services |
65 |
Total Drug Submitted ChargeAmount |
2783 |
Total Drug Medicare AllowedAmount |
1283.07 |
Total Drug Medicare PaymentAmount |
1230.24 |
Total Drug Medicare Standardized Payment Amount |
1230.24 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
33 |
Number Of Medical Services |
3329 |
Number Of Medicare Beneficiaries With Medical Services |
660 |
Total Medical Submitted Charge Amount |
366702 |
Total Medical Medicare Allowed Amount |
303178.03 |
Total Medical Medicare Payment Amount |
226759.95 |
Total Medical Medicare Standardized Payment Amount |
232763.12 |
Average Age Of Beneficiaries |
72 |
Number Of Beneficiaries Age Less65 |
173 |
Number Of Beneficiaries Age 65 to 74 |
146 |
Number Of Beneficiaries Age 75 to 84 |
167 |
Number Of Beneficiaries Age Greater 84 |
174 |
Number Of Female Beneficiaries |
406 |
Number Of Male Beneficiaries |
254 |
Number Of Non Hispanic White Beneficiaries |
446 |
Number Of Black or African American Beneficiaries |
185 |
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 |
13 |
Number Of Beneficiaries With Medicare Only Entitlement |
389 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
271 |
Percent Of With Atrial Fibrillation |
17 |
Percent Of With Alzheimers Disease or Dementia |
30 |
Percent Of With Asthma |
17 |
Percent Of With Cancer |
13 |
Percent Of With Heart Failure |
46 |
Percent Of With Chronic Kidney Disease |
37 |
Percent Of With Chronic Obstructive Pulmonary Disease |
39 |
Percent Of With Depression |
44 |
Percent Of With Diabetes |
42 |
Percent Of With Hyperlipidemia |
63 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
54 |
Percent Of With Osteoporosis |
12 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
61 |
Percent Of With Schizophrenia Other PsychoticDisorders |
25 |
Percent Of With Stroke |
12 |
Average HCC Risk Score Of Beneficiaries |
2.1093 |