National Provider Identifier [NPI]: |
1447351994 |
Last Name Of The Provider |
SCHEIN |
First Name Of The Provider |
CRAIG |
Middle Initial Of The Provider |
S |
Credentials Of The Provider |
DPM |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
331 SUMMER ST |
Street Address 2 Of The Provider |
|
City Of The Provider |
ST JOHNSBURY |
Zip Code Of The Provider |
05819 |
State Code Of The Provider |
VT |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Podiatry |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
59 |
Number Of Services |
3244 |
Number Of Medicare Beneficiaries |
706 |
Total Submitted Charge Amount |
244890 |
Total Medicare Allowed Amount |
166772.4 |
Total Medicare Payment Amount |
116402.29 |
Total Medicare Standardized Payment Amount |
118098.59 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
1 |
Number Of Drug Services |
236 |
Number Of Medicare Beneficiaries With Drug Services |
72 |
Total Drug Submitted ChargeAmount |
1888 |
Total Drug Medicare AllowedAmount |
1345.76 |
Total Drug Medicare PaymentAmount |
1036.35 |
Total Drug Medicare Standardized Payment Amount |
1036.35 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
58 |
Number Of Medical Services |
3008 |
Number Of Medicare Beneficiaries With Medical Services |
706 |
Total Medical Submitted Charge Amount |
243002 |
Total Medical Medicare Allowed Amount |
165426.64 |
Total Medical Medicare Payment Amount |
115365.94 |
Total Medical Medicare Standardized Payment Amount |
117062.24 |
Average Age Of Beneficiaries |
76 |
Number Of Beneficiaries Age Less65 |
86 |
Number Of Beneficiaries Age 65 to 74 |
235 |
Number Of Beneficiaries Age 75 to 84 |
205 |
Number Of Beneficiaries Age Greater 84 |
180 |
Number Of Female Beneficiaries |
420 |
Number Of Male Beneficiaries |
286 |
Number Of Non Hispanic White Beneficiaries |
689 |
Number Of Black or African American Beneficiaries |
|
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 |
436 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
270 |
Percent Of With Atrial Fibrillation |
14 |
Percent Of With Alzheimers Disease or Dementia |
17 |
Percent Of With Asthma |
4 |
Percent Of With Cancer |
8 |
Percent Of With Heart Failure |
17 |
Percent Of With Chronic Kidney Disease |
18 |
Percent Of With Chronic Obstructive Pulmonary Disease |
16 |
Percent Of With Depression |
23 |
Percent Of With Diabetes |
35 |
Percent Of With Hyperlipidemia |
36 |
Percent Of With Hypertension |
59 |
Percent Of With Ischemic Heart Disease |
28 |
Percent Of With Osteoporosis |
5 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
37 |
Percent Of With Schizophrenia Other PsychoticDisorders |
5 |
Percent Of With Stroke |
3 |
Average HCC Risk Score Of Beneficiaries |
1.1765 |