National Provider Identifier [NPI]: |
1922035773 |
Last Name Of The Provider |
SCHMIDT |
First Name Of The Provider |
ERIC |
Middle Initial Of The Provider |
J |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1100 REID PKWY |
Street Address 2 Of The Provider |
SUITE 210 |
City Of The Provider |
RICHMOND |
Zip Code Of The Provider |
473741157 |
State Code Of The Provider |
IN |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Cardiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
54 |
Number Of Services |
3360 |
Number Of Medicare Beneficiaries |
1809 |
Total Submitted Charge Amount |
549614.07 |
Total Medicare Allowed Amount |
172860.74 |
Total Medicare Payment Amount |
128903.44 |
Total Medicare Standardized Payment Amount |
135392.03 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
15 |
Number Of Medicare Beneficiaries With Drug Services |
11 |
Total Drug Submitted ChargeAmount |
1624 |
Total Drug Medicare AllowedAmount |
636.42 |
Total Drug Medicare PaymentAmount |
498.93 |
Total Drug Medicare Standardized Payment Amount |
498.93 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
52 |
Number Of Medical Services |
3345 |
Number Of Medicare Beneficiaries With Medical Services |
1809 |
Total Medical Submitted Charge Amount |
547990.07 |
Total Medical Medicare Allowed Amount |
172224.32 |
Total Medical Medicare Payment Amount |
128404.51 |
Total Medical Medicare Standardized Payment Amount |
134893.1 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
273 |
Number Of Beneficiaries Age 65 to 74 |
608 |
Number Of Beneficiaries Age 75 to 84 |
596 |
Number Of Beneficiaries Age Greater 84 |
332 |
Number Of Female Beneficiaries |
967 |
Number Of Male Beneficiaries |
842 |
Number Of Non Hispanic White Beneficiaries |
1733 |
Number Of Black or African American Beneficiaries |
58 |
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 |
1347 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
462 |
Percent Of With Atrial Fibrillation |
32 |
Percent Of With Alzheimers Disease or Dementia |
14 |
Percent Of With Asthma |
9 |
Percent Of With Cancer |
12 |
Percent Of With Heart Failure |
47 |
Percent Of With Chronic Kidney Disease |
41 |
Percent Of With Chronic Obstructive Pulmonary Disease |
29 |
Percent Of With Depression |
29 |
Percent Of With Diabetes |
41 |
Percent Of With Hyperlipidemia |
72 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
75 |
Percent Of With Osteoporosis |
14 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
51 |
Percent Of With Schizophrenia Other PsychoticDisorders |
7 |
Percent Of With Stroke |
9 |
Average HCC Risk Score Of Beneficiaries |
1.8198 |