National Provider Identifier [NPI]: |
1922068444 |
Last Name Of The Provider |
SCHMIDT |
First Name Of The Provider |
ALLEN |
Middle Initial Of The Provider |
J |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1501 7TH ST SE |
Street Address 2 Of The Provider |
|
City Of The Provider |
DECATUR |
Zip Code Of The Provider |
35601 |
State Code Of The Provider |
AL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Internal Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
52 |
Number Of Services |
5229 |
Number Of Medicare Beneficiaries |
1292 |
Total Submitted Charge Amount |
573442 |
Total Medicare Allowed Amount |
400240.75 |
Total Medicare Payment Amount |
303877.81 |
Total Medicare Standardized Payment Amount |
330452.89 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
3 |
Number Of Drug Services |
108 |
Number Of Medicare Beneficiaries With Drug Services |
95 |
Total Drug Submitted ChargeAmount |
2377 |
Total Drug Medicare AllowedAmount |
1398.19 |
Total Drug Medicare PaymentAmount |
1364.61 |
Total Drug Medicare Standardized Payment Amount |
1364.61 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
49 |
Number Of Medical Services |
5121 |
Number Of Medicare Beneficiaries With Medical Services |
1292 |
Total Medical Submitted Charge Amount |
571065 |
Total Medical Medicare Allowed Amount |
398842.56 |
Total Medical Medicare Payment Amount |
302513.2 |
Total Medical Medicare Standardized Payment Amount |
329088.28 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
188 |
Number Of Beneficiaries Age 65 to 74 |
488 |
Number Of Beneficiaries Age 75 to 84 |
417 |
Number Of Beneficiaries Age Greater 84 |
199 |
Number Of Female Beneficiaries |
730 |
Number Of Male Beneficiaries |
562 |
Number Of Non Hispanic White Beneficiaries |
1170 |
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 |
1003 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
289 |
Percent Of With Atrial Fibrillation |
19 |
Percent Of With Alzheimers Disease or Dementia |
20 |
Percent Of With Asthma |
12 |
Percent Of With Cancer |
15 |
Percent Of With Heart Failure |
35 |
Percent Of With Chronic Kidney Disease |
37 |
Percent Of With Chronic Obstructive Pulmonary Disease |
32 |
Percent Of With Depression |
29 |
Percent Of With Diabetes |
39 |
Percent Of With Hyperlipidemia |
72 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
46 |
Percent Of With Osteoporosis |
9 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
52 |
Percent Of With Schizophrenia Other PsychoticDisorders |
7 |
Percent Of With Stroke |
8 |
Average HCC Risk Score Of Beneficiaries |
1.6458 |