Medicare Facts for Dr. Steven J. Merkow, MD


National Provider Identifier [NPI]: 1336122712
Last Name Of The Provider MERKOW
First Name Of The Provider STEVEN
Middle Initial Of The Provider J
Credentials Of The Provider M.D.
Gender Of The Provider M
Entity Type Of The Provider I
Street Address 1 Of The Provider 1111 DELAFIELD ST
Street Address 2 Of The Provider SUITE 120
City Of The Provider WAUKESHA
Zip Code Of The Provider 531883417
State Code Of The Provider WI
Country Code Of The Provider US
Provider Type Of The Provider Orthopedic Surgery
Medicare Participation Indicator Y
Number Of HCPCS 73
Number Of Services 2281
Number Of Medicare Beneficiaries 363
Total Submitted Charge Amount 798588
Total Medicare Allowed Amount 175129.15
Total Medicare Payment Amount 132207.99
Total Medicare Standardized Payment Amount 136765.44
Drug Suppress Indicator
Number Of HCPCS Associated With Drug Services 3
Number Of Drug Services 963
Number Of Medicare Beneficiaries With Drug Services 154
Total Drug Submitted ChargeAmount 23550
Total Drug Medicare AllowedAmount 15794.03
Total Drug Medicare PaymentAmount 12254.26
Total Drug Medicare Standardized Payment Amount 12254.26
Medical SuppressIndicator
Number Of HCPCS Associated With MedicalServices 70
Number Of Medical Services 1318
Number Of Medicare Beneficiaries With Medical Services 363
Total Medical Submitted Charge Amount 775038
Total Medical Medicare Allowed Amount 159335.12
Total Medical Medicare Payment Amount 119953.73
Total Medical Medicare Standardized Payment Amount 124511.18
Average Age Of Beneficiaries 74
Number Of Beneficiaries Age Less65 21
Number Of Beneficiaries Age 65 to 74 179
Number Of Beneficiaries Age 75 to 84 110
Number Of Beneficiaries Age Greater 84 53
Number Of Female Beneficiaries 213
Number Of Male Beneficiaries 150
Number Of Non Hispanic White Beneficiaries 346
Number Of Black or African American Beneficiaries
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 340
Number Of Beneficiaries With Medicare Medicaid Entitlement 23
Percent Of With Atrial Fibrillation 11
Percent Of With Alzheimers Disease or Dementia 7
Percent Of With Asthma 8
Percent Of With Cancer 9
Percent Of With Heart Failure 10
Percent Of With Chronic Kidney Disease 22
Percent Of With Chronic Obstructive Pulmonary Disease 6
Percent Of With Depression 14
Percent Of With Diabetes 22
Percent Of With Hyperlipidemia 63
Percent Of With Hypertension 63
Percent Of With Ischemic Heart Disease 35
Percent Of With Osteoporosis 9
Percent Of With Rheumatoid Arthritis Osteoarthritis 67
Percent Of With Schizophrenia Other PsychoticDisorders 3
Percent Of With Stroke
Average HCC Risk Score Of Beneficiaries 1.0244

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