National Provider Identifier [NPI]: |
1104927722 |
Last Name Of The Provider |
HOWELL |
First Name Of The Provider |
SHERI |
Middle Initial Of The Provider |
S |
Credentials Of The Provider |
MD |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
820 N MONTANA AVE |
Street Address 2 Of The Provider |
|
City Of The Provider |
HELENA |
Zip Code Of The Provider |
596013856 |
State Code Of The Provider |
MT |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Family Practice |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
43 |
Number Of Services |
1123 |
Number Of Medicare Beneficiaries |
167 |
Total Submitted Charge Amount |
105323 |
Total Medicare Allowed Amount |
54593.44 |
Total Medicare Payment Amount |
39745.72 |
Total Medicare Standardized Payment Amount |
39893.68 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
6 |
Number Of Drug Services |
117 |
Number Of Medicare Beneficiaries With Drug Services |
61 |
Total Drug Submitted ChargeAmount |
2337 |
Total Drug Medicare AllowedAmount |
1888.34 |
Total Drug Medicare PaymentAmount |
1817.03 |
Total Drug Medicare Standardized Payment Amount |
1817.03 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
37 |
Number Of Medical Services |
1006 |
Number Of Medicare Beneficiaries With Medical Services |
167 |
Total Medical Submitted Charge Amount |
102986 |
Total Medical Medicare Allowed Amount |
52705.1 |
Total Medical Medicare Payment Amount |
37928.69 |
Total Medical Medicare Standardized Payment Amount |
38076.65 |
Average Age Of Beneficiaries |
72 |
Number Of Beneficiaries Age Less65 |
12 |
Number Of Beneficiaries Age 65 to 74 |
98 |
Number Of Beneficiaries Age 75 to 84 |
35 |
Number Of Beneficiaries Age Greater 84 |
22 |
Number Of Female Beneficiaries |
133 |
Number Of Male Beneficiaries |
34 |
Number Of Non Hispanic White Beneficiaries |
|
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 |
155 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
12 |
Percent Of With Atrial Fibrillation |
|
Percent Of With Alzheimers Disease or Dementia |
|
Percent Of With Asthma |
|
Percent Of With Cancer |
10 |
Percent Of With Heart Failure |
10 |
Percent Of With Chronic Kidney Disease |
13 |
Percent Of With Chronic Obstructive Pulmonary Disease |
14 |
Percent Of With Depression |
22 |
Percent Of With Diabetes |
20 |
Percent Of With Hyperlipidemia |
31 |
Percent Of With Hypertension |
47 |
Percent Of With Ischemic Heart Disease |
16 |
Percent Of With Osteoporosis |
7 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
37 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
|
Average HCC Risk Score Of Beneficiaries |
0.7914 |