National Provider Identifier [NPI]: |
1932178225 |
Last Name Of The Provider |
SCHWARTZ |
First Name Of The Provider |
BURTON |
Middle Initial Of The Provider |
S |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
910 E 26TH ST |
Street Address 2 Of The Provider |
STE 200 |
City Of The Provider |
MINNEAPOLIS |
Zip Code Of The Provider |
554044526 |
State Code Of The Provider |
MN |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Medical Oncology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
52 |
Number Of Services |
3068 |
Number Of Medicare Beneficiaries |
157 |
Total Submitted Charge Amount |
172372.65 |
Total Medicare Allowed Amount |
51807.92 |
Total Medicare Payment Amount |
36655.82 |
Total Medicare Standardized Payment Amount |
37506.95 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
18 |
Number Of Drug Services |
2604 |
Number Of Medicare Beneficiaries With Drug Services |
14 |
Total Drug Submitted ChargeAmount |
87311 |
Total Drug Medicare AllowedAmount |
22503.88 |
Total Drug Medicare PaymentAmount |
15441.21 |
Total Drug Medicare Standardized Payment Amount |
15441.21 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
34 |
Number Of Medical Services |
464 |
Number Of Medicare Beneficiaries With Medical Services |
157 |
Total Medical Submitted Charge Amount |
85061.65 |
Total Medical Medicare Allowed Amount |
29304.04 |
Total Medical Medicare Payment Amount |
21214.61 |
Total Medical Medicare Standardized Payment Amount |
22065.74 |
Average Age Of Beneficiaries |
75 |
Number Of Beneficiaries Age Less65 |
20 |
Number Of Beneficiaries Age 65 to 74 |
50 |
Number Of Beneficiaries Age 75 to 84 |
57 |
Number Of Beneficiaries Age Greater 84 |
30 |
Number Of Female Beneficiaries |
97 |
Number Of Male Beneficiaries |
60 |
Number Of Non Hispanic White Beneficiaries |
143 |
Number Of Black or African American Beneficiaries |
|
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 |
135 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
22 |
Percent Of With Atrial Fibrillation |
13 |
Percent Of With Alzheimers Disease or Dementia |
8 |
Percent Of With Asthma |
8 |
Percent Of With Cancer |
48 |
Percent Of With Heart Failure |
22 |
Percent Of With Chronic Kidney Disease |
29 |
Percent Of With Chronic Obstructive Pulmonary Disease |
12 |
Percent Of With Depression |
17 |
Percent Of With Diabetes |
25 |
Percent Of With Hyperlipidemia |
35 |
Percent Of With Hypertension |
59 |
Percent Of With Ischemic Heart Disease |
35 |
Percent Of With Osteoporosis |
8 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
31 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
|
Average HCC Risk Score Of Beneficiaries |
1.9377 |