National Provider Identifier [NPI]: |
1285606715 |
Last Name Of The Provider |
TRENKNER |
First Name Of The Provider |
STEPHEN |
Middle Initial Of The Provider |
W |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
200 1ST ST SW |
Street Address 2 Of The Provider |
|
City Of The Provider |
ROCHESTER |
Zip Code Of The Provider |
559050001 |
State Code Of The Provider |
MN |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Diagnostic Radiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
31 |
Number Of Services |
7030 |
Number Of Medicare Beneficiaries |
1009 |
Total Submitted Charge Amount |
158308.85 |
Total Medicare Allowed Amount |
112280.27 |
Total Medicare Payment Amount |
81346.24 |
Total Medicare Standardized Payment Amount |
90818.98 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
3 |
Number Of Drug Services |
5964 |
Number Of Medicare Beneficiaries With Drug Services |
54 |
Total Drug Submitted ChargeAmount |
2743.31 |
Total Drug Medicare AllowedAmount |
2088.49 |
Total Drug Medicare PaymentAmount |
1249.6 |
Total Drug Medicare Standardized Payment Amount |
1249.6 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
28 |
Number Of Medical Services |
1066 |
Number Of Medicare Beneficiaries With Medical Services |
1003 |
Total Medical Submitted Charge Amount |
155565.54 |
Total Medical Medicare Allowed Amount |
110191.78 |
Total Medical Medicare Payment Amount |
80096.64 |
Total Medical Medicare Standardized Payment Amount |
89569.38 |
Average Age Of Beneficiaries |
71 |
Number Of Beneficiaries Age Less65 |
177 |
Number Of Beneficiaries Age 65 to 74 |
425 |
Number Of Beneficiaries Age 75 to 84 |
320 |
Number Of Beneficiaries Age Greater 84 |
87 |
Number Of Female Beneficiaries |
577 |
Number Of Male Beneficiaries |
432 |
Number Of Non Hispanic White Beneficiaries |
963 |
Number Of Black or African American Beneficiaries |
15 |
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 |
887 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
122 |
Percent Of With Atrial Fibrillation |
13 |
Percent Of With Alzheimers Disease or Dementia |
7 |
Percent Of With Asthma |
11 |
Percent Of With Cancer |
15 |
Percent Of With Heart Failure |
17 |
Percent Of With Chronic Kidney Disease |
25 |
Percent Of With Chronic Obstructive Pulmonary Disease |
17 |
Percent Of With Depression |
33 |
Percent Of With Diabetes |
22 |
Percent Of With Hyperlipidemia |
49 |
Percent Of With Hypertension |
60 |
Percent Of With Ischemic Heart Disease |
40 |
Percent Of With Osteoporosis |
12 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
45 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
7 |
Average HCC Risk Score Of Beneficiaries |
1.4273 |