National Provider Identifier [NPI]: |
1760454300 |
Last Name Of The Provider |
SCHMITZ |
First Name Of The Provider |
BRETT |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
P.A. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
2105 NORRIS AVENUE |
Street Address 2 Of The Provider |
BRETT A. SCHMITZ |
City Of The Provider |
MC COOK |
Zip Code Of The Provider |
690013432 |
State Code Of The Provider |
NE |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Physician Assistant |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
58 |
Number Of Services |
1105 |
Number Of Medicare Beneficiaries |
363 |
Total Submitted Charge Amount |
96163.76 |
Total Medicare Allowed Amount |
45152.69 |
Total Medicare Payment Amount |
30112.26 |
Total Medicare Standardized Payment Amount |
39629.39 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
9 |
Number Of Drug Services |
302 |
Number Of Medicare Beneficiaries With Drug Services |
68 |
Total Drug Submitted ChargeAmount |
2843.6 |
Total Drug Medicare AllowedAmount |
585.33 |
Total Drug Medicare PaymentAmount |
476.97 |
Total Drug Medicare Standardized Payment Amount |
476.97 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
49 |
Number Of Medical Services |
803 |
Number Of Medicare Beneficiaries With Medical Services |
363 |
Total Medical Submitted Charge Amount |
93320.16 |
Total Medical Medicare Allowed Amount |
44567.36 |
Total Medical Medicare Payment Amount |
29635.29 |
Total Medical Medicare Standardized Payment Amount |
39152.42 |
Average Age Of Beneficiaries |
70 |
Number Of Beneficiaries Age Less65 |
73 |
Number Of Beneficiaries Age 65 to 74 |
139 |
Number Of Beneficiaries Age 75 to 84 |
103 |
Number Of Beneficiaries Age Greater 84 |
48 |
Number Of Female Beneficiaries |
205 |
Number Of Male Beneficiaries |
158 |
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 |
297 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
66 |
Percent Of With Atrial Fibrillation |
7 |
Percent Of With Alzheimers Disease or Dementia |
4 |
Percent Of With Asthma |
4 |
Percent Of With Cancer |
6 |
Percent Of With Heart Failure |
11 |
Percent Of With Chronic Kidney Disease |
10 |
Percent Of With Chronic Obstructive Pulmonary Disease |
9 |
Percent Of With Depression |
20 |
Percent Of With Diabetes |
19 |
Percent Of With Hyperlipidemia |
35 |
Percent Of With Hypertension |
43 |
Percent Of With Ischemic Heart Disease |
26 |
Percent Of With Osteoporosis |
3 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
31 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
|
Average HCC Risk Score Of Beneficiaries |
0.9439 |