National Provider Identifier [NPI]: |
1285629451 |
Last Name Of The Provider |
SCHUNEMEYER |
First Name Of The Provider |
AMY |
Middle Initial Of The Provider |
B |
Credentials Of The Provider |
DPM |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
2308 E MAIN ST |
Street Address 2 Of The Provider |
SUITE F |
City Of The Provider |
NEW IBERIA |
Zip Code Of The Provider |
705604041 |
State Code Of The Provider |
LA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Podiatry |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
78 |
Number Of Services |
8222 |
Number Of Medicare Beneficiaries |
813 |
Total Submitted Charge Amount |
729532.85 |
Total Medicare Allowed Amount |
382348.61 |
Total Medicare Payment Amount |
275249.12 |
Total Medicare Standardized Payment Amount |
301800.21 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
5 |
Number Of Drug Services |
2850 |
Number Of Medicare Beneficiaries With Drug Services |
143 |
Total Drug Submitted ChargeAmount |
61615.24 |
Total Drug Medicare AllowedAmount |
39940.59 |
Total Drug Medicare PaymentAmount |
25051.11 |
Total Drug Medicare Standardized Payment Amount |
25051.11 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
73 |
Number Of Medical Services |
5372 |
Number Of Medicare Beneficiaries With Medical Services |
813 |
Total Medical Submitted Charge Amount |
667917.61 |
Total Medical Medicare Allowed Amount |
342408.02 |
Total Medical Medicare Payment Amount |
250198.01 |
Total Medical Medicare Standardized Payment Amount |
276749.1 |
Average Age Of Beneficiaries |
72 |
Number Of Beneficiaries Age Less65 |
166 |
Number Of Beneficiaries Age 65 to 74 |
291 |
Number Of Beneficiaries Age 75 to 84 |
250 |
Number Of Beneficiaries Age Greater 84 |
106 |
Number Of Female Beneficiaries |
522 |
Number Of Male Beneficiaries |
291 |
Number Of Non Hispanic White Beneficiaries |
484 |
Number Of Black or African American Beneficiaries |
296 |
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 |
500 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
313 |
Percent Of With Atrial Fibrillation |
10 |
Percent Of With Alzheimers Disease or Dementia |
13 |
Percent Of With Asthma |
7 |
Percent Of With Cancer |
9 |
Percent Of With Heart Failure |
26 |
Percent Of With Chronic Kidney Disease |
28 |
Percent Of With Chronic Obstructive Pulmonary Disease |
15 |
Percent Of With Depression |
22 |
Percent Of With Diabetes |
54 |
Percent Of With Hyperlipidemia |
66 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
51 |
Percent Of With Osteoporosis |
8 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
42 |
Percent Of With Schizophrenia Other PsychoticDisorders |
5 |
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
1.5767 |