National Provider Identifier [NPI]: |
1932239142 |
Last Name Of The Provider |
SNYDER |
First Name Of The Provider |
MICHAEL |
Middle Initial Of The Provider |
D |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
700 S PARK ST |
Street Address 2 Of The Provider |
DEAN & ST. MARY'S OUTPATIENT CENTER |
City Of The Provider |
MADISON |
Zip Code Of The Provider |
537151830 |
State Code Of The Provider |
WI |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Neurology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
123 |
Number Of Services |
28666 |
Number Of Medicare Beneficiaries |
517 |
Total Submitted Charge Amount |
1123615.75 |
Total Medicare Allowed Amount |
322914.98 |
Total Medicare Payment Amount |
237652.11 |
Total Medicare Standardized Payment Amount |
237848.59 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
31 |
Number Of Drug Services |
27262 |
Number Of Medicare Beneficiaries With Drug Services |
72 |
Total Drug Submitted ChargeAmount |
326066.25 |
Total Drug Medicare AllowedAmount |
173094.41 |
Total Drug Medicare PaymentAmount |
129304.72 |
Total Drug Medicare Standardized Payment Amount |
129304.72 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
92 |
Number Of Medical Services |
1404 |
Number Of Medicare Beneficiaries With Medical Services |
517 |
Total Medical Submitted Charge Amount |
797549.5 |
Total Medical Medicare Allowed Amount |
149820.57 |
Total Medical Medicare Payment Amount |
108347.39 |
Total Medical Medicare Standardized Payment Amount |
108543.87 |
Average Age Of Beneficiaries |
69 |
Number Of Beneficiaries Age Less65 |
132 |
Number Of Beneficiaries Age 65 to 74 |
207 |
Number Of Beneficiaries Age 75 to 84 |
129 |
Number Of Beneficiaries Age Greater 84 |
49 |
Number Of Female Beneficiaries |
280 |
Number Of Male Beneficiaries |
237 |
Number Of Non Hispanic White Beneficiaries |
485 |
Number Of Black or African American Beneficiaries |
|
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 |
|
Number Of Beneficiaries With Medicare Only Entitlement |
384 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
133 |
Percent Of With Atrial Fibrillation |
8 |
Percent Of With Alzheimers Disease or Dementia |
13 |
Percent Of With Asthma |
8 |
Percent Of With Cancer |
7 |
Percent Of With Heart Failure |
17 |
Percent Of With Chronic Kidney Disease |
20 |
Percent Of With Chronic Obstructive Pulmonary Disease |
12 |
Percent Of With Depression |
32 |
Percent Of With Diabetes |
28 |
Percent Of With Hyperlipidemia |
50 |
Percent Of With Hypertension |
55 |
Percent Of With Ischemic Heart Disease |
28 |
Percent Of With Osteoporosis |
6 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
34 |
Percent Of With Schizophrenia Other PsychoticDisorders |
5 |
Percent Of With Stroke |
12 |
Average HCC Risk Score Of Beneficiaries |
1.2132 |