National Provider Identifier [NPI]: |
1528047974 |
Last Name Of The Provider |
REMIS |
First Name Of The Provider |
ROBERT |
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 |
105 N KEENE ST |
Street Address 2 Of The Provider |
STE 201 |
City Of The Provider |
COLUMBIA |
Zip Code Of The Provider |
652018131 |
State Code Of The Provider |
MO |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Urology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
116 |
Number Of Services |
8123 |
Number Of Medicare Beneficiaries |
1017 |
Total Submitted Charge Amount |
1184052 |
Total Medicare Allowed Amount |
358475.19 |
Total Medicare Payment Amount |
268812.23 |
Total Medicare Standardized Payment Amount |
292382.31 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
8 |
Number Of Drug Services |
574 |
Number Of Medicare Beneficiaries With Drug Services |
26 |
Total Drug Submitted ChargeAmount |
91580 |
Total Drug Medicare AllowedAmount |
30123.97 |
Total Drug Medicare PaymentAmount |
23454.92 |
Total Drug Medicare Standardized Payment Amount |
23454.92 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
108 |
Number Of Medical Services |
7549 |
Number Of Medicare Beneficiaries With Medical Services |
1017 |
Total Medical Submitted Charge Amount |
1092472 |
Total Medical Medicare Allowed Amount |
328351.22 |
Total Medical Medicare Payment Amount |
245357.31 |
Total Medical Medicare Standardized Payment Amount |
268927.39 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
86 |
Number Of Beneficiaries Age 65 to 74 |
457 |
Number Of Beneficiaries Age 75 to 84 |
351 |
Number Of Beneficiaries Age Greater 84 |
123 |
Number Of Female Beneficiaries |
424 |
Number Of Male Beneficiaries |
593 |
Number Of Non Hispanic White Beneficiaries |
972 |
Number Of Black or African American Beneficiaries |
29 |
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 |
|
Number Of Beneficiaries With Medicare Only Entitlement |
946 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
71 |
Percent Of With Atrial Fibrillation |
12 |
Percent Of With Alzheimers Disease or Dementia |
9 |
Percent Of With Asthma |
5 |
Percent Of With Cancer |
15 |
Percent Of With Heart Failure |
17 |
Percent Of With Chronic Kidney Disease |
21 |
Percent Of With Chronic Obstructive Pulmonary Disease |
14 |
Percent Of With Depression |
22 |
Percent Of With Diabetes |
29 |
Percent Of With Hyperlipidemia |
53 |
Percent Of With Hypertension |
65 |
Percent Of With Ischemic Heart Disease |
38 |
Percent Of With Osteoporosis |
7 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
44 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
6 |
Average HCC Risk Score Of Beneficiaries |
1.1262 |