National Provider Identifier [NPI]: |
1417916099 |
Last Name Of The Provider |
SCHUELER |
First Name Of The Provider |
DEAN |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
20B PROFESSIONAL PARK DR |
Street Address 2 Of The Provider |
|
City Of The Provider |
MARYVILLE |
Zip Code Of The Provider |
620625669 |
State Code Of The Provider |
IL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Family Practice |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
51 |
Number Of Services |
4313 |
Number Of Medicare Beneficiaries |
712 |
Total Submitted Charge Amount |
454180 |
Total Medicare Allowed Amount |
301345.56 |
Total Medicare Payment Amount |
214748.86 |
Total Medicare Standardized Payment Amount |
217937.55 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
13 |
Number Of Drug Services |
436 |
Number Of Medicare Beneficiaries With Drug Services |
174 |
Total Drug Submitted ChargeAmount |
16184 |
Total Drug Medicare AllowedAmount |
5251.98 |
Total Drug Medicare PaymentAmount |
4912.16 |
Total Drug Medicare Standardized Payment Amount |
4912.16 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
38 |
Number Of Medical Services |
3877 |
Number Of Medicare Beneficiaries With Medical Services |
712 |
Total Medical Submitted Charge Amount |
437996 |
Total Medical Medicare Allowed Amount |
296093.58 |
Total Medical Medicare Payment Amount |
209836.7 |
Total Medical Medicare Standardized Payment Amount |
213025.39 |
Average Age Of Beneficiaries |
75 |
Number Of Beneficiaries Age Less65 |
100 |
Number Of Beneficiaries Age 65 to 74 |
253 |
Number Of Beneficiaries Age 75 to 84 |
208 |
Number Of Beneficiaries Age Greater 84 |
151 |
Number Of Female Beneficiaries |
438 |
Number Of Male Beneficiaries |
274 |
Number Of Non Hispanic White Beneficiaries |
677 |
Number Of Black or African American Beneficiaries |
18 |
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 |
547 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
165 |
Percent Of With Atrial Fibrillation |
16 |
Percent Of With Alzheimers Disease or Dementia |
25 |
Percent Of With Asthma |
7 |
Percent Of With Cancer |
11 |
Percent Of With Heart Failure |
31 |
Percent Of With Chronic Kidney Disease |
33 |
Percent Of With Chronic Obstructive Pulmonary Disease |
20 |
Percent Of With Depression |
33 |
Percent Of With Diabetes |
35 |
Percent Of With Hyperlipidemia |
51 |
Percent Of With Hypertension |
69 |
Percent Of With Ischemic Heart Disease |
42 |
Percent Of With Osteoporosis |
9 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
45 |
Percent Of With Schizophrenia Other PsychoticDisorders |
11 |
Percent Of With Stroke |
10 |
Average HCC Risk Score Of Beneficiaries |
1.4997 |