National Provider Identifier [NPI]: |
1053323105 |
Last Name Of The Provider |
MIDDLER |
First Name Of The Provider |
STEWART |
Middle Initial Of The Provider |
A |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
99 N LA CIENEGA BLVD |
Street Address 2 Of The Provider |
|
City Of The Provider |
BEVERLY HILLS |
Zip Code Of The Provider |
902112222 |
State Code Of The Provider |
CA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Endocrinology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
118 |
Number Of Services |
72103 |
Number Of Medicare Beneficiaries |
8256 |
Total Submitted Charge Amount |
2757625 |
Total Medicare Allowed Amount |
980008.84 |
Total Medicare Payment Amount |
945686.16 |
Total Medicare Standardized Payment Amount |
946693.35 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
5 |
Number Of Drug Services |
51 |
Number Of Medicare Beneficiaries With Drug Services |
48 |
Total Drug Submitted ChargeAmount |
2377 |
Total Drug Medicare AllowedAmount |
1513.79 |
Total Drug Medicare PaymentAmount |
1483.43 |
Total Drug Medicare Standardized Payment Amount |
1483.43 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
113 |
Number Of Medical Services |
72052 |
Number Of Medicare Beneficiaries With Medical Services |
8256 |
Total Medical Submitted Charge Amount |
2755248 |
Total Medical Medicare Allowed Amount |
978495.05 |
Total Medical Medicare Payment Amount |
944202.73 |
Total Medical Medicare Standardized Payment Amount |
945209.92 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
815 |
Number Of Beneficiaries Age 65 to 74 |
3900 |
Number Of Beneficiaries Age 75 to 84 |
2417 |
Number Of Beneficiaries Age Greater 84 |
1124 |
Number Of Female Beneficiaries |
4943 |
Number Of Male Beneficiaries |
3313 |
Number Of Non Hispanic White Beneficiaries |
5676 |
Number Of Black or African American Beneficiaries |
1117 |
Number Of AsianPacific Islander Beneficiaries |
616 |
Number Of Hispanic Beneficiaries |
589 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
6584 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
1672 |
Percent Of With Atrial Fibrillation |
10 |
Percent Of With Alzheimers Disease or Dementia |
8 |
Percent Of With Asthma |
7 |
Percent Of With Cancer |
15 |
Percent Of With Heart Failure |
18 |
Percent Of With Chronic Kidney Disease |
23 |
Percent Of With Chronic Obstructive Pulmonary Disease |
9 |
Percent Of With Depression |
21 |
Percent Of With Diabetes |
30 |
Percent Of With Hyperlipidemia |
55 |
Percent Of With Hypertension |
59 |
Percent Of With Ischemic Heart Disease |
38 |
Percent Of With Osteoporosis |
12 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
40 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
1.272 |