National Provider Identifier [NPI]: |
1265539589 |
Last Name Of The Provider |
SCHULZE |
First Name Of The Provider |
AARON |
Middle Initial Of The Provider |
T |
Credentials Of The Provider |
PA-C |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
3385 DEXTER CT |
Street Address 2 Of The Provider |
SUITE 300 |
City Of The Provider |
DAVENPORT |
Zip Code Of The Provider |
528073471 |
State Code Of The Provider |
IA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Physician Assistant |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
39 |
Number Of Services |
2030 |
Number Of Medicare Beneficiaries |
498 |
Total Submitted Charge Amount |
1854022.78 |
Total Medicare Allowed Amount |
103907.68 |
Total Medicare Payment Amount |
78008.13 |
Total Medicare Standardized Payment Amount |
91781.98 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
4 |
Number Of Drug Services |
720 |
Number Of Medicare Beneficiaries With Drug Services |
244 |
Total Drug Submitted ChargeAmount |
34287 |
Total Drug Medicare AllowedAmount |
18285.22 |
Total Drug Medicare PaymentAmount |
13946.86 |
Total Drug Medicare Standardized Payment Amount |
13946.86 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
35 |
Number Of Medical Services |
1310 |
Number Of Medicare Beneficiaries With Medical Services |
498 |
Total Medical Submitted Charge Amount |
1819735.78 |
Total Medical Medicare Allowed Amount |
85622.46 |
Total Medical Medicare Payment Amount |
64061.27 |
Total Medical Medicare Standardized Payment Amount |
77835.12 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
21 |
Number Of Beneficiaries Age 65 to 74 |
244 |
Number Of Beneficiaries Age 75 to 84 |
188 |
Number Of Beneficiaries Age Greater 84 |
45 |
Number Of Female Beneficiaries |
294 |
Number Of Male Beneficiaries |
204 |
Number Of Non Hispanic White Beneficiaries |
482 |
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 |
480 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
18 |
Percent Of With Atrial Fibrillation |
10 |
Percent Of With Alzheimers Disease or Dementia |
4 |
Percent Of With Asthma |
7 |
Percent Of With Cancer |
9 |
Percent Of With Heart Failure |
12 |
Percent Of With Chronic Kidney Disease |
13 |
Percent Of With Chronic Obstructive Pulmonary Disease |
10 |
Percent Of With Depression |
20 |
Percent Of With Diabetes |
24 |
Percent Of With Hyperlipidemia |
62 |
Percent Of With Hypertension |
67 |
Percent Of With Ischemic Heart Disease |
36 |
Percent Of With Osteoporosis |
5 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
75 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
2 |
Average HCC Risk Score Of Beneficiaries |
0.8429 |