National Provider Identifier [NPI]: |
1518925239 |
Last Name Of The Provider |
SCHILLING |
First Name Of The Provider |
GEORGE |
Middle Initial Of The Provider |
A |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
2505 W HAMMER LN |
Street Address 2 Of The Provider |
|
City Of The Provider |
STOCKTON |
Zip Code Of The Provider |
952092839 |
State Code Of The Provider |
CA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Internal Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
51 |
Number Of Services |
4402 |
Number Of Medicare Beneficiaries |
797 |
Total Submitted Charge Amount |
768022 |
Total Medicare Allowed Amount |
298362.23 |
Total Medicare Payment Amount |
202323.58 |
Total Medicare Standardized Payment Amount |
196009.53 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
13 |
Number Of Drug Services |
698 |
Number Of Medicare Beneficiaries With Drug Services |
139 |
Total Drug Submitted ChargeAmount |
8995 |
Total Drug Medicare AllowedAmount |
3426.42 |
Total Drug Medicare PaymentAmount |
3054.22 |
Total Drug Medicare Standardized Payment Amount |
3054.22 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
38 |
Number Of Medical Services |
3704 |
Number Of Medicare Beneficiaries With Medical Services |
794 |
Total Medical Submitted Charge Amount |
759027 |
Total Medical Medicare Allowed Amount |
294935.81 |
Total Medical Medicare Payment Amount |
199269.36 |
Total Medical Medicare Standardized Payment Amount |
192955.31 |
Average Age Of Beneficiaries |
76 |
Number Of Beneficiaries Age Less65 |
72 |
Number Of Beneficiaries Age 65 to 74 |
286 |
Number Of Beneficiaries Age 75 to 84 |
217 |
Number Of Beneficiaries Age Greater 84 |
222 |
Number Of Female Beneficiaries |
456 |
Number Of Male Beneficiaries |
341 |
Number Of Non Hispanic White Beneficiaries |
594 |
Number Of Black or African American Beneficiaries |
55 |
Number Of AsianPacific Islander Beneficiaries |
38 |
Number Of Hispanic Beneficiaries |
95 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
636 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
161 |
Percent Of With Atrial Fibrillation |
11 |
Percent Of With Alzheimers Disease or Dementia |
17 |
Percent Of With Asthma |
6 |
Percent Of With Cancer |
10 |
Percent Of With Heart Failure |
23 |
Percent Of With Chronic Kidney Disease |
23 |
Percent Of With Chronic Obstructive Pulmonary Disease |
15 |
Percent Of With Depression |
20 |
Percent Of With Diabetes |
28 |
Percent Of With Hyperlipidemia |
63 |
Percent Of With Hypertension |
69 |
Percent Of With Ischemic Heart Disease |
38 |
Percent Of With Osteoporosis |
7 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
43 |
Percent Of With Schizophrenia Other PsychoticDisorders |
6 |
Percent Of With Stroke |
7 |
Average HCC Risk Score Of Beneficiaries |
1.3212 |