National Provider Identifier [NPI]: |
1356348122 |
Last Name Of The Provider |
SCHERER |
First Name Of The Provider |
JACK |
Middle Initial Of The Provider |
R |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
360 PLAZA DR |
Street Address 2 Of The Provider |
|
City Of The Provider |
COLUMBUS |
Zip Code Of The Provider |
472012952 |
State Code Of The Provider |
IN |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Dermatology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
60 |
Number Of Services |
6778 |
Number Of Medicare Beneficiaries |
1304 |
Total Submitted Charge Amount |
437183.64 |
Total Medicare Allowed Amount |
389354.91 |
Total Medicare Payment Amount |
276147.96 |
Total Medicare Standardized Payment Amount |
291794.42 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
1 |
Number Of Drug Services |
83 |
Number Of Medicare Beneficiaries With Drug Services |
42 |
Total Drug Submitted ChargeAmount |
140 |
Total Drug Medicare AllowedAmount |
133.3 |
Total Drug Medicare PaymentAmount |
92.47 |
Total Drug Medicare Standardized Payment Amount |
92.47 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
59 |
Number Of Medical Services |
6695 |
Number Of Medicare Beneficiaries With Medical Services |
1304 |
Total Medical Submitted Charge Amount |
437043.64 |
Total Medical Medicare Allowed Amount |
389221.61 |
Total Medical Medicare Payment Amount |
276055.49 |
Total Medical Medicare Standardized Payment Amount |
291701.95 |
Average Age Of Beneficiaries |
76 |
Number Of Beneficiaries Age Less65 |
51 |
Number Of Beneficiaries Age 65 to 74 |
500 |
Number Of Beneficiaries Age 75 to 84 |
546 |
Number Of Beneficiaries Age Greater 84 |
207 |
Number Of Female Beneficiaries |
540 |
Number Of Male Beneficiaries |
764 |
Number Of Non Hispanic White Beneficiaries |
1273 |
Number Of Black or African American Beneficiaries |
|
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 |
16 |
Number Of Beneficiaries With Medicare Only Entitlement |
1245 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
59 |
Percent Of With Atrial Fibrillation |
12 |
Percent Of With Alzheimers Disease or Dementia |
6 |
Percent Of With Asthma |
6 |
Percent Of With Cancer |
10 |
Percent Of With Heart Failure |
14 |
Percent Of With Chronic Kidney Disease |
17 |
Percent Of With Chronic Obstructive Pulmonary Disease |
9 |
Percent Of With Depression |
11 |
Percent Of With Diabetes |
27 |
Percent Of With Hyperlipidemia |
51 |
Percent Of With Hypertension |
60 |
Percent Of With Ischemic Heart Disease |
31 |
Percent Of With Osteoporosis |
5 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
35 |
Percent Of With Schizophrenia Other PsychoticDisorders |
1 |
Percent Of With Stroke |
3 |
Average HCC Risk Score Of Beneficiaries |
0.9452 |