National Provider Identifier [NPI]: |
1750369344 |
Last Name Of The Provider |
STRUCK |
First Name Of The Provider |
LYNN |
Middle Initial Of The Provider |
K |
Credentials Of The Provider |
MD |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1221 PLEASANT ST |
Street Address 2 Of The Provider |
SUITE 300 |
City Of The Provider |
DES MOINES |
Zip Code Of The Provider |
503091423 |
State Code Of The Provider |
IA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Neurology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
71 |
Number Of Services |
93723 |
Number Of Medicare Beneficiaries |
1061 |
Total Submitted Charge Amount |
1368255 |
Total Medicare Allowed Amount |
752366.1 |
Total Medicare Payment Amount |
559496.35 |
Total Medicare Standardized Payment Amount |
563872 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
6 |
Number Of Drug Services |
90598 |
Number Of Medicare Beneficiaries With Drug Services |
168 |
Total Drug Submitted ChargeAmount |
831847.5 |
Total Drug Medicare AllowedAmount |
501310.77 |
Total Drug Medicare PaymentAmount |
386085.18 |
Total Drug Medicare Standardized Payment Amount |
386085.18 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
65 |
Number Of Medical Services |
3125 |
Number Of Medicare Beneficiaries With Medical Services |
1061 |
Total Medical Submitted Charge Amount |
536407.5 |
Total Medical Medicare Allowed Amount |
251055.33 |
Total Medical Medicare Payment Amount |
173411.17 |
Total Medical Medicare Standardized Payment Amount |
177786.82 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
134 |
Number Of Beneficiaries Age 65 to 74 |
423 |
Number Of Beneficiaries Age 75 to 84 |
363 |
Number Of Beneficiaries Age Greater 84 |
141 |
Number Of Female Beneficiaries |
545 |
Number Of Male Beneficiaries |
516 |
Number Of Non Hispanic White Beneficiaries |
1035 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
11 |
Number Of Beneficiaries With Medicare Only Entitlement |
918 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
143 |
Percent Of With Atrial Fibrillation |
10 |
Percent Of With Alzheimers Disease or Dementia |
26 |
Percent Of With Asthma |
4 |
Percent Of With Cancer |
8 |
Percent Of With Heart Failure |
11 |
Percent Of With Chronic Kidney Disease |
13 |
Percent Of With Chronic Obstructive Pulmonary Disease |
11 |
Percent Of With Depression |
26 |
Percent Of With Diabetes |
21 |
Percent Of With Hyperlipidemia |
41 |
Percent Of With Hypertension |
54 |
Percent Of With Ischemic Heart Disease |
25 |
Percent Of With Osteoporosis |
8 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
32 |
Percent Of With Schizophrenia Other PsychoticDisorders |
7 |
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
1.3356 |