National Provider Identifier [NPI]: |
1639349335 |
Last Name Of The Provider |
STEERMAN |
First Name Of The Provider |
SAMUEL |
Middle Initial Of The Provider |
N |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
600 GRESHAM DR STE 8620 |
Street Address 2 Of The Provider |
EVMS VASCULAR SURGERY |
City Of The Provider |
NORFOLK |
Zip Code Of The Provider |
235071904 |
State Code Of The Provider |
VA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Vascular Surgery |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
176 |
Number Of Services |
5916 |
Number Of Medicare Beneficiaries |
1335 |
Total Submitted Charge Amount |
2090486 |
Total Medicare Allowed Amount |
665972.23 |
Total Medicare Payment Amount |
512637.26 |
Total Medicare Standardized Payment Amount |
525752.68 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
3150 |
Number Of Medicare Beneficiaries With Drug Services |
82 |
Total Drug Submitted ChargeAmount |
4041 |
Total Drug Medicare AllowedAmount |
1199.47 |
Total Drug Medicare PaymentAmount |
940.32 |
Total Drug Medicare Standardized Payment Amount |
940.32 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
174 |
Number Of Medical Services |
2766 |
Number Of Medicare Beneficiaries With Medical Services |
1335 |
Total Medical Submitted Charge Amount |
2086445 |
Total Medical Medicare Allowed Amount |
664772.76 |
Total Medical Medicare Payment Amount |
511696.94 |
Total Medical Medicare Standardized Payment Amount |
524812.36 |
Average Age Of Beneficiaries |
72 |
Number Of Beneficiaries Age Less65 |
270 |
Number Of Beneficiaries Age 65 to 74 |
457 |
Number Of Beneficiaries Age 75 to 84 |
398 |
Number Of Beneficiaries Age Greater 84 |
210 |
Number Of Female Beneficiaries |
717 |
Number Of Male Beneficiaries |
618 |
Number Of Non Hispanic White Beneficiaries |
829 |
Number Of Black or African American Beneficiaries |
438 |
Number Of AsianPacific Islander Beneficiaries |
26 |
Number Of Hispanic Beneficiaries |
30 |
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
12 |
Number Of Beneficiaries With Medicare Only Entitlement |
1048 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
287 |
Percent Of With Atrial Fibrillation |
20 |
Percent Of With Alzheimers Disease or Dementia |
17 |
Percent Of With Asthma |
14 |
Percent Of With Cancer |
14 |
Percent Of With Heart Failure |
41 |
Percent Of With Chronic Kidney Disease |
58 |
Percent Of With Chronic Obstructive Pulmonary Disease |
27 |
Percent Of With Depression |
25 |
Percent Of With Diabetes |
51 |
Percent Of With Hyperlipidemia |
72 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
53 |
Percent Of With Osteoporosis |
9 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
43 |
Percent Of With Schizophrenia Other PsychoticDisorders |
6 |
Percent Of With Stroke |
14 |
Average HCC Risk Score Of Beneficiaries |
3.0509 |