National Provider Identifier [NPI]: |
1780670448 |
Last Name Of The Provider |
RITTER |
First Name Of The Provider |
STEVEN |
Middle Initial Of The Provider |
E |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
12619 POINT SOUND |
Street Address 2 Of The Provider |
|
City Of The Provider |
SAN ANTONIO |
Zip Code Of The Provider |
782535268 |
State Code Of The Provider |
TX |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Dermatology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
112 |
Number Of Services |
9463 |
Number Of Medicare Beneficiaries |
1001 |
Total Submitted Charge Amount |
1009496.13 |
Total Medicare Allowed Amount |
818768.79 |
Total Medicare Payment Amount |
621520.28 |
Total Medicare Standardized Payment Amount |
624038.62 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
3 |
Number Of Drug Services |
78 |
Number Of Medicare Beneficiaries With Drug Services |
21 |
Total Drug Submitted ChargeAmount |
142.07 |
Total Drug Medicare AllowedAmount |
109.66 |
Total Drug Medicare PaymentAmount |
96.37 |
Total Drug Medicare Standardized Payment Amount |
96.37 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
109 |
Number Of Medical Services |
9385 |
Number Of Medicare Beneficiaries With Medical Services |
1001 |
Total Medical Submitted Charge Amount |
1009354.06 |
Total Medical Medicare Allowed Amount |
818659.13 |
Total Medical Medicare Payment Amount |
621423.91 |
Total Medical Medicare Standardized Payment Amount |
623942.25 |
Average Age Of Beneficiaries |
76 |
Number Of Beneficiaries Age Less65 |
41 |
Number Of Beneficiaries Age 65 to 74 |
426 |
Number Of Beneficiaries Age 75 to 84 |
356 |
Number Of Beneficiaries Age Greater 84 |
178 |
Number Of Female Beneficiaries |
447 |
Number Of Male Beneficiaries |
554 |
Number Of Non Hispanic White Beneficiaries |
944 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
43 |
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
940 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
61 |
Percent Of With Atrial Fibrillation |
12 |
Percent Of With Alzheimers Disease or Dementia |
9 |
Percent Of With Asthma |
5 |
Percent Of With Cancer |
9 |
Percent Of With Heart Failure |
23 |
Percent Of With Chronic Kidney Disease |
19 |
Percent Of With Chronic Obstructive Pulmonary Disease |
10 |
Percent Of With Depression |
10 |
Percent Of With Diabetes |
27 |
Percent Of With Hyperlipidemia |
61 |
Percent Of With Hypertension |
72 |
Percent Of With Ischemic Heart Disease |
45 |
Percent Of With Osteoporosis |
8 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
35 |
Percent Of With Schizophrenia Other PsychoticDisorders |
1 |
Percent Of With Stroke |
7 |
Average HCC Risk Score Of Beneficiaries |
1.0416 |