| National Provider Identifier [NPI]: | 1578686929 |
| Last Name Of The Provider | SCHWADERER |
| First Name Of The Provider | ADAM |
| Middle Initial Of The Provider | R |
| Credentials Of The Provider | D.O. PHARMD. |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 1375 N MAIN ST |
| Street Address 2 Of The Provider | |
| City Of The Provider | LAPEER |
| Zip Code Of The Provider | 484461350 |
| State Code Of The Provider | MI |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Diagnostic Radiology |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 209 |
| Number Of Services | 5093 |
| Number Of Medicare Beneficiaries | 2772 |
| Total Submitted Charge Amount | 558377 |
| Total Medicare Allowed Amount | 165165.94 |
| Total Medicare Payment Amount | 125970.26 |
| Total Medicare Standardized Payment Amount | 130398.12 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 0 |
| Number Of Drug Services | 0 |
| Number Of Medicare Beneficiaries With Drug Services | 0 |
| Total Drug Submitted ChargeAmount | 0 |
| Total Drug Medicare AllowedAmount | 0 |
| Total Drug Medicare PaymentAmount | 0 |
| Total Drug Medicare Standardized Payment Amount | 0 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 209 |
| Number Of Medical Services | 5093 |
| Number Of Medicare Beneficiaries With Medical Services | 2772 |
| Total Medical Submitted Charge Amount | 558377 |
| Total Medical Medicare Allowed Amount | 165165.94 |
| Total Medical Medicare Payment Amount | 125970.26 |
| Total Medical Medicare Standardized Payment Amount | 130398.12 |
| Average Age Of Beneficiaries | 70 |
| Number Of Beneficiaries Age Less65 | 677 |
| Number Of Beneficiaries Age 65 to 74 | 961 |
| Number Of Beneficiaries Age 75 to 84 | 761 |
| Number Of Beneficiaries Age Greater 84 | 373 |
| Number Of Female Beneficiaries | 1724 |
| Number Of Male Beneficiaries | 1048 |
| Number Of Non Hispanic White Beneficiaries | 2671 |
| Number Of Black or African American Beneficiaries | |
| Number Of AsianPacific Islander Beneficiaries | |
| Number Of Hispanic Beneficiaries | 50 |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | 27 |
| Number Of Beneficiaries With Medicare Only Entitlement | 2006 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 766 |
| Percent Of With Atrial Fibrillation | 16 |
| Percent Of With Alzheimers Disease or Dementia | 17 |
| Percent Of With Asthma | 15 |
| Percent Of With Cancer | 13 |
| Percent Of With Heart Failure | 31 |
| Percent Of With Chronic Kidney Disease | 31 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 33 |
| Percent Of With Depression | 34 |
| Percent Of With Diabetes | 39 |
| Percent Of With Hyperlipidemia | 65 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 54 |
| Percent Of With Osteoporosis | 9 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 55 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 8 |
| Percent Of With Stroke | 10 |
| Average HCC Risk Score Of Beneficiaries | 1.6637 |