National Provider Identifier [NPI]: |
1235244963 |
Last Name Of The Provider |
MOREHEAD |
First Name Of The Provider |
KERSTIN |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
2340 CLAY ST FL 6 |
Street Address 2 Of The Provider |
|
City Of The Provider |
SAN FRANCISCO |
Zip Code Of The Provider |
941151932 |
State Code Of The Provider |
CA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Rheumatology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
31 |
Number Of Services |
547 |
Number Of Medicare Beneficiaries |
173 |
Total Submitted Charge Amount |
92689 |
Total Medicare Allowed Amount |
57534.95 |
Total Medicare Payment Amount |
42044.69 |
Total Medicare Standardized Payment Amount |
35281.24 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
7 |
Number Of Drug Services |
65 |
Number Of Medicare Beneficiaries With Drug Services |
41 |
Total Drug Submitted ChargeAmount |
2705 |
Total Drug Medicare AllowedAmount |
1082.55 |
Total Drug Medicare PaymentAmount |
999.13 |
Total Drug Medicare Standardized Payment Amount |
999.13 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
24 |
Number Of Medical Services |
482 |
Number Of Medicare Beneficiaries With Medical Services |
172 |
Total Medical Submitted Charge Amount |
89984 |
Total Medical Medicare Allowed Amount |
56452.4 |
Total Medical Medicare Payment Amount |
41045.56 |
Total Medical Medicare Standardized Payment Amount |
34282.11 |
Average Age Of Beneficiaries |
72 |
Number Of Beneficiaries Age Less65 |
15 |
Number Of Beneficiaries Age 65 to 74 |
97 |
Number Of Beneficiaries Age 75 to 84 |
47 |
Number Of Beneficiaries Age Greater 84 |
14 |
Number Of Female Beneficiaries |
118 |
Number Of Male Beneficiaries |
55 |
Number Of Non Hispanic White Beneficiaries |
119 |
Number Of Black or African American Beneficiaries |
16 |
Number Of AsianPacific Islander Beneficiaries |
23 |
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 |
152 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
21 |
Percent Of With Atrial Fibrillation |
8 |
Percent Of With Alzheimers Disease or Dementia |
|
Percent Of With Asthma |
7 |
Percent Of With Cancer |
|
Percent Of With Heart Failure |
11 |
Percent Of With Chronic Kidney Disease |
16 |
Percent Of With Chronic Obstructive Pulmonary Disease |
|
Percent Of With Depression |
22 |
Percent Of With Diabetes |
20 |
Percent Of With Hyperlipidemia |
45 |
Percent Of With Hypertension |
59 |
Percent Of With Ischemic Heart Disease |
19 |
Percent Of With Osteoporosis |
14 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
68 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
|
Average HCC Risk Score Of Beneficiaries |
0.9829 |