National Provider Identifier [NPI]: |
1760434633 |
Last Name Of The Provider |
FELDMAN |
First Name Of The Provider |
STUART |
Middle Initial Of The Provider |
M |
Credentials Of The Provider |
D.O. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
111 E WISCONSIN AVE |
Street Address 2 Of The Provider |
SUITE 2000 |
City Of The Provider |
MILWAUKEE |
Zip Code Of The Provider |
532024815 |
State Code Of The Provider |
WI |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Emergency Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
40 |
Number Of Services |
975 |
Number Of Medicare Beneficiaries |
818 |
Total Submitted Charge Amount |
600220 |
Total Medicare Allowed Amount |
129429.87 |
Total Medicare Payment Amount |
96385.94 |
Total Medicare Standardized Payment Amount |
99617.02 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
0 |
Number Of Drug Services |
0 |
Number Of Medicare Beneficiaries With Drug Services |
0 |
Total Drug Submitted ChargeAmount |
0 |
Total Drug Medicare AllowedAmount |
0 |
Total Drug Medicare PaymentAmount |
0 |
Total Drug Medicare Standardized Payment Amount |
0 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
40 |
Number Of Medical Services |
975 |
Number Of Medicare Beneficiaries With Medical Services |
818 |
Total Medical Submitted Charge Amount |
600220 |
Total Medical Medicare Allowed Amount |
129429.87 |
Total Medical Medicare Payment Amount |
96385.94 |
Total Medical Medicare Standardized Payment Amount |
99617.02 |
Average Age Of Beneficiaries |
71 |
Number Of Beneficiaries Age Less65 |
221 |
Number Of Beneficiaries Age 65 to 74 |
188 |
Number Of Beneficiaries Age 75 to 84 |
228 |
Number Of Beneficiaries Age Greater 84 |
181 |
Number Of Female Beneficiaries |
468 |
Number Of Male Beneficiaries |
350 |
Number Of Non Hispanic White Beneficiaries |
757 |
Number Of Black or African American Beneficiaries |
28 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
20 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
501 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
317 |
Percent Of With Atrial Fibrillation |
17 |
Percent Of With Alzheimers Disease or Dementia |
22 |
Percent Of With Asthma |
13 |
Percent Of With Cancer |
12 |
Percent Of With Heart Failure |
36 |
Percent Of With Chronic Kidney Disease |
40 |
Percent Of With Chronic Obstructive Pulmonary Disease |
30 |
Percent Of With Depression |
39 |
Percent Of With Diabetes |
36 |
Percent Of With Hyperlipidemia |
63 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
48 |
Percent Of With Osteoporosis |
15 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
46 |
Percent Of With Schizophrenia Other PsychoticDisorders |
12 |
Percent Of With Stroke |
11 |
Average HCC Risk Score Of Beneficiaries |
1.7702 |