National Provider Identifier [NPI]: |
1780649970 |
Last Name Of The Provider |
STEEVES |
First Name Of The Provider |
PHILIP |
Middle Initial Of The Provider |
E |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
38 MONTVALE AVE |
Street Address 2 Of The Provider |
SUITE 300 |
City Of The Provider |
STONEHAM |
Zip Code Of The Provider |
021802446 |
State Code Of The Provider |
MA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Diagnostic Radiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
142 |
Number Of Services |
4447 |
Number Of Medicare Beneficiaries |
2616 |
Total Submitted Charge Amount |
321177 |
Total Medicare Allowed Amount |
120063.73 |
Total Medicare Payment Amount |
95746.11 |
Total Medicare Standardized Payment Amount |
92782.24 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
0 |
Number Of Drug Services |
0 |
Number Of Medicare Beneficiaries With Drug Services |
0 |
Total Drug Submitted ChargeAmount |
0 |
Total Drug Medicare AllowedAmount |
0 |
Total Drug Medicare PaymentAmount |
0 |
Total Drug Medicare Standardized Payment Amount |
0 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
142 |
Number Of Medical Services |
4447 |
Number Of Medicare Beneficiaries With Medical Services |
2616 |
Total Medical Submitted Charge Amount |
321177 |
Total Medical Medicare Allowed Amount |
120063.73 |
Total Medical Medicare Payment Amount |
95746.11 |
Total Medical Medicare Standardized Payment Amount |
92782.24 |
Average Age Of Beneficiaries |
75 |
Number Of Beneficiaries Age Less65 |
275 |
Number Of Beneficiaries Age 65 to 74 |
949 |
Number Of Beneficiaries Age 75 to 84 |
818 |
Number Of Beneficiaries Age Greater 84 |
574 |
Number Of Female Beneficiaries |
1792 |
Number Of Male Beneficiaries |
824 |
Number Of Non Hispanic White Beneficiaries |
2522 |
Number Of Black or African American Beneficiaries |
21 |
Number Of AsianPacific Islander Beneficiaries |
15 |
Number Of Hispanic Beneficiaries |
25 |
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
33 |
Number Of Beneficiaries With Medicare Only Entitlement |
2174 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
442 |
Percent Of With Atrial Fibrillation |
18 |
Percent Of With Alzheimers Disease or Dementia |
19 |
Percent Of With Asthma |
9 |
Percent Of With Cancer |
18 |
Percent Of With Heart Failure |
28 |
Percent Of With Chronic Kidney Disease |
33 |
Percent Of With Chronic Obstructive Pulmonary Disease |
21 |
Percent Of With Depression |
31 |
Percent Of With Diabetes |
28 |
Percent Of With Hyperlipidemia |
63 |
Percent Of With Hypertension |
74 |
Percent Of With Ischemic Heart Disease |
37 |
Percent Of With Osteoporosis |
13 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
42 |
Percent Of With Schizophrenia Other PsychoticDisorders |
6 |
Percent Of With Stroke |
7 |
Average HCC Risk Score Of Beneficiaries |
1.4076 |