National Provider Identifier [NPI]: |
1669433801 |
Last Name Of The Provider |
STERNBERG |
First Name Of The Provider |
TIMOTHY |
Middle Initial Of The Provider |
L |
Credentials Of The Provider |
M.D., D.M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
2627 RIVERSIDE AVE |
Street Address 2 Of The Provider |
SUITE 300 |
City Of The Provider |
JACKSONVILLE |
Zip Code Of The Provider |
322044712 |
State Code Of The Provider |
FL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Anesthesiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
104 |
Number Of Services |
15279 |
Number Of Medicare Beneficiaries |
844 |
Total Submitted Charge Amount |
1438271 |
Total Medicare Allowed Amount |
490322.15 |
Total Medicare Payment Amount |
364740.59 |
Total Medicare Standardized Payment Amount |
357645.61 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
7 |
Number Of Drug Services |
11218 |
Number Of Medicare Beneficiaries With Drug Services |
659 |
Total Drug Submitted ChargeAmount |
71860 |
Total Drug Medicare AllowedAmount |
26724.43 |
Total Drug Medicare PaymentAmount |
20533.52 |
Total Drug Medicare Standardized Payment Amount |
20533.52 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
97 |
Number Of Medical Services |
4061 |
Number Of Medicare Beneficiaries With Medical Services |
842 |
Total Medical Submitted Charge Amount |
1366411 |
Total Medical Medicare Allowed Amount |
463597.72 |
Total Medical Medicare Payment Amount |
344207.07 |
Total Medical Medicare Standardized Payment Amount |
337112.09 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
107 |
Number Of Beneficiaries Age 65 to 74 |
323 |
Number Of Beneficiaries Age 75 to 84 |
293 |
Number Of Beneficiaries Age Greater 84 |
121 |
Number Of Female Beneficiaries |
563 |
Number Of Male Beneficiaries |
281 |
Number Of Non Hispanic White Beneficiaries |
733 |
Number Of Black or African American Beneficiaries |
84 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
12 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
774 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
70 |
Percent Of With Atrial Fibrillation |
13 |
Percent Of With Alzheimers Disease or Dementia |
10 |
Percent Of With Asthma |
10 |
Percent Of With Cancer |
10 |
Percent Of With Heart Failure |
20 |
Percent Of With Chronic Kidney Disease |
24 |
Percent Of With Chronic Obstructive Pulmonary Disease |
18 |
Percent Of With Depression |
25 |
Percent Of With Diabetes |
35 |
Percent Of With Hyperlipidemia |
68 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
43 |
Percent Of With Osteoporosis |
11 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
75 |
Percent Of With Schizophrenia Other PsychoticDisorders |
4 |
Percent Of With Stroke |
7 |
Average HCC Risk Score Of Beneficiaries |
1.3374 |