National Provider Identifier [NPI]: |
1205925245 |
Last Name Of The Provider |
SCHULZE |
First Name Of The Provider |
HELEN |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
MD |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1906 W US HIGHWAY 82 |
Street Address 2 Of The Provider |
|
City Of The Provider |
SHERMAN |
Zip Code Of The Provider |
750926893 |
State Code Of The Provider |
TX |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Family Practice |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
105 |
Number Of Services |
5903 |
Number Of Medicare Beneficiaries |
623 |
Total Submitted Charge Amount |
448585.5 |
Total Medicare Allowed Amount |
249389.22 |
Total Medicare Payment Amount |
176378.15 |
Total Medicare Standardized Payment Amount |
188435.06 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
15 |
Number Of Drug Services |
1680 |
Number Of Medicare Beneficiaries With Drug Services |
330 |
Total Drug Submitted ChargeAmount |
50930.5 |
Total Drug Medicare AllowedAmount |
19674.25 |
Total Drug Medicare PaymentAmount |
16367.25 |
Total Drug Medicare Standardized Payment Amount |
16367.25 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
90 |
Number Of Medical Services |
4223 |
Number Of Medicare Beneficiaries With Medical Services |
623 |
Total Medical Submitted Charge Amount |
397655 |
Total Medical Medicare Allowed Amount |
229714.97 |
Total Medical Medicare Payment Amount |
160010.9 |
Total Medical Medicare Standardized Payment Amount |
172067.81 |
Average Age Of Beneficiaries |
71 |
Number Of Beneficiaries Age Less65 |
56 |
Number Of Beneficiaries Age 65 to 74 |
370 |
Number Of Beneficiaries Age 75 to 84 |
153 |
Number Of Beneficiaries Age Greater 84 |
44 |
Number Of Female Beneficiaries |
521 |
Number Of Male Beneficiaries |
102 |
Number Of Non Hispanic White Beneficiaries |
583 |
Number Of Black or African American Beneficiaries |
20 |
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 |
593 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
30 |
Percent Of With Atrial Fibrillation |
8 |
Percent Of With Alzheimers Disease or Dementia |
6 |
Percent Of With Asthma |
5 |
Percent Of With Cancer |
8 |
Percent Of With Heart Failure |
11 |
Percent Of With Chronic Kidney Disease |
13 |
Percent Of With Chronic Obstructive Pulmonary Disease |
11 |
Percent Of With Depression |
11 |
Percent Of With Diabetes |
23 |
Percent Of With Hyperlipidemia |
43 |
Percent Of With Hypertension |
58 |
Percent Of With Ischemic Heart Disease |
25 |
Percent Of With Osteoporosis |
5 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
33 |
Percent Of With Schizophrenia Other PsychoticDisorders |
2 |
Percent Of With Stroke |
4 |
Average HCC Risk Score Of Beneficiaries |
0.8632 |