Medicare Facts for Dr. Barbara K. Schmelzer, MD


National Provider Identifier [NPI]: 1629024864
Last Name Of The Provider SCHMELZER
First Name Of The Provider BARBARA
Middle Initial Of The Provider D
Credentials Of The Provider MD
Gender Of The Provider F
Entity Type Of The Provider I
Street Address 1 Of The Provider 300 BAY SHORE RD
Street Address 2 Of The Provider
City Of The Provider NORTH BABYLON
Zip Code Of The Provider 117032823
State Code Of The Provider NY
Country Code Of The Provider US
Provider Type Of The Provider Internal Medicine
Medicare Participation Indicator Y
Number Of HCPCS 25
Number Of Services 555
Number Of Medicare Beneficiaries 120
Total Submitted Charge Amount 54616.88
Total Medicare Allowed Amount 32933.97
Total Medicare Payment Amount 24244.78
Total Medicare Standardized Payment Amount 21354.39
Drug Suppress Indicator
Number Of HCPCS Associated With Drug Services 5
Number Of Drug Services 35
Number Of Medicare Beneficiaries With Drug Services 30
Total Drug Submitted ChargeAmount 2309.37
Total Drug Medicare AllowedAmount 1065.03
Total Drug Medicare PaymentAmount 1041.49
Total Drug Medicare Standardized Payment Amount 1041.49
Medical SuppressIndicator
Number Of HCPCS Associated With MedicalServices 20
Number Of Medical Services 520
Number Of Medicare Beneficiaries With Medical Services 120
Total Medical Submitted Charge Amount 52307.51
Total Medical Medicare Allowed Amount 31868.94
Total Medical Medicare Payment Amount 23203.29
Total Medical Medicare Standardized Payment Amount 20312.9
Average Age Of Beneficiaries 71
Number Of Beneficiaries Age Less65 17
Number Of Beneficiaries Age 65 to 74 54
Number Of Beneficiaries Age 75 to 84 36
Number Of Beneficiaries Age Greater 84 13
Number Of Female Beneficiaries 89
Number Of Male Beneficiaries 31
Number Of Non Hispanic White Beneficiaries 68
Number Of Black or African American Beneficiaries 38
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 95
Number Of Beneficiaries With Medicare Medicaid Entitlement 25
Percent Of With Atrial Fibrillation 9
Percent Of With Alzheimers Disease or Dementia 10
Percent Of With Asthma 11
Percent Of With Cancer
Percent Of With Heart Failure 10
Percent Of With Chronic Kidney Disease 27
Percent Of With Chronic Obstructive Pulmonary Disease 9
Percent Of With Depression 11
Percent Of With Diabetes 42
Percent Of With Hyperlipidemia 64
Percent Of With Hypertension 68
Percent Of With Ischemic Heart Disease 29
Percent Of With Osteoporosis
Percent Of With Rheumatoid Arthritis Osteoarthritis 28
Percent Of With Schizophrenia Other PsychoticDisorders
Percent Of With Stroke
Average HCC Risk Score Of Beneficiaries 1.0382

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