National Provider Identifier [NPI]: |
1174628127 |
Last Name Of The Provider |
SCHWENDER |
First Name Of The Provider |
CATHERINE |
Middle Initial Of The Provider |
B |
Credentials Of The Provider |
MD |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1500 OGLETHORPE AVE STE 2000 |
Street Address 2 Of The Provider |
|
City Of The Provider |
ATHENS |
Zip Code Of The Provider |
306062188 |
State Code Of The Provider |
GA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Urology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
162 |
Number Of Services |
12794 |
Number Of Medicare Beneficiaries |
805 |
Total Submitted Charge Amount |
1129109 |
Total Medicare Allowed Amount |
391044.15 |
Total Medicare Payment Amount |
282502.3 |
Total Medicare Standardized Payment Amount |
308121.82 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
16 |
Number Of Drug Services |
7935 |
Number Of Medicare Beneficiaries With Drug Services |
118 |
Total Drug Submitted ChargeAmount |
92150 |
Total Drug Medicare AllowedAmount |
31177.14 |
Total Drug Medicare PaymentAmount |
19591.81 |
Total Drug Medicare Standardized Payment Amount |
19591.81 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
146 |
Number Of Medical Services |
4859 |
Number Of Medicare Beneficiaries With Medical Services |
805 |
Total Medical Submitted Charge Amount |
1036959 |
Total Medical Medicare Allowed Amount |
359867.01 |
Total Medical Medicare Payment Amount |
262910.49 |
Total Medical Medicare Standardized Payment Amount |
288530.01 |
Average Age Of Beneficiaries |
72 |
Number Of Beneficiaries Age Less65 |
136 |
Number Of Beneficiaries Age 65 to 74 |
321 |
Number Of Beneficiaries Age 75 to 84 |
217 |
Number Of Beneficiaries Age Greater 84 |
131 |
Number Of Female Beneficiaries |
443 |
Number Of Male Beneficiaries |
362 |
Number Of Non Hispanic White Beneficiaries |
696 |
Number Of Black or African American Beneficiaries |
89 |
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 |
630 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
175 |
Percent Of With Atrial Fibrillation |
12 |
Percent Of With Alzheimers Disease or Dementia |
18 |
Percent Of With Asthma |
7 |
Percent Of With Cancer |
19 |
Percent Of With Heart Failure |
21 |
Percent Of With Chronic Kidney Disease |
40 |
Percent Of With Chronic Obstructive Pulmonary Disease |
20 |
Percent Of With Depression |
26 |
Percent Of With Diabetes |
33 |
Percent Of With Hyperlipidemia |
60 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
36 |
Percent Of With Osteoporosis |
7 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
42 |
Percent Of With Schizophrenia Other PsychoticDisorders |
4 |
Percent Of With Stroke |
8 |
Average HCC Risk Score Of Beneficiaries |
1.5144 |