| National Provider Identifier [NPI]: | 1194716043 | 
| Last Name Of The Provider | HONEBRINK | 
| First Name Of The Provider | STEVEN | 
| Middle Initial Of The Provider | N | 
| Credentials Of The Provider | MD | 
| Gender Of The Provider | M | 
| Entity Type Of The Provider | I | 
| Street Address 1 Of The Provider | 1520 NORTHWAY DR | 
| Street Address 2 Of The Provider | |
| City Of The Provider | SAINT CLOUD | 
| Zip Code Of The Provider | 563034478 | 
| State Code Of The Provider | MN | 
| Country Code Of The Provider | US | 
| Provider Type Of The Provider | Family Practice | 
| Medicare Participation Indicator | Y | 
| Number Of HCPCS | 86 | 
| Number Of Services | 2300 | 
| Number Of Medicare Beneficiaries | 241 | 
| Total Submitted Charge Amount | 169761.5 | 
| Total Medicare Allowed Amount | 71541.06 | 
| Total Medicare Payment Amount | 52969.73 | 
| Total Medicare Standardized Payment Amount | 54212.6 | 
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 4 | 
| Number Of Drug Services | 57 | 
| Number Of Medicare Beneficiaries With Drug Services | 28 | 
| Total Drug Submitted ChargeAmount | 1246.25 | 
| Total Drug Medicare AllowedAmount | 847.68 | 
| Total Drug Medicare PaymentAmount | 804.79 | 
| Total Drug Medicare Standardized Payment Amount | 804.79 | 
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 82 | 
| Number Of Medical Services | 2243 | 
| Number Of Medicare Beneficiaries With Medical Services | 241 | 
| Total Medical Submitted Charge Amount | 168515.25 | 
| Total Medical Medicare Allowed Amount | 70693.38 | 
| Total Medical Medicare Payment Amount | 52164.94 | 
| Total Medical Medicare Standardized Payment Amount | 53407.81 | 
| Average Age Of Beneficiaries | 68 | 
| Number Of Beneficiaries Age Less65 | 87 | 
| Number Of Beneficiaries Age 65 to 74 | 55 | 
| Number Of Beneficiaries Age 75 to 84 | 58 | 
| Number Of Beneficiaries Age Greater 84 | 41 | 
| Number Of Female Beneficiaries | 118 | 
| Number Of Male Beneficiaries | 123 | 
| Number Of Non Hispanic White Beneficiaries | |
| Number Of Black or African American Beneficiaries | |
| Number Of AsianPacific Islander Beneficiaries | |
| Number Of Hispanic Beneficiaries | |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | |
| Number Of Beneficiaries With Medicare Only Entitlement | 139 | 
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 102 | 
| Percent Of With Atrial Fibrillation | 9 | 
| Percent Of With Alzheimers Disease or Dementia | 9 | 
| Percent Of With Asthma | 6 | 
| Percent Of With Cancer | |
| Percent Of With Heart Failure | 12 | 
| Percent Of With Chronic Kidney Disease | 19 | 
| Percent Of With Chronic Obstructive Pulmonary Disease | 10 | 
| Percent Of With Depression | 25 | 
| Percent Of With Diabetes | 23 | 
| Percent Of With Hyperlipidemia | 52 | 
| Percent Of With Hypertension | 53 | 
| Percent Of With Ischemic Heart Disease | 25 | 
| Percent Of With Osteoporosis | 7 | 
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 32 | 
| Percent Of With Schizophrenia Other PsychoticDisorders | 10 | 
| Percent Of With Stroke | |
| Average HCC Risk Score Of Beneficiaries | 1.1184 |