National Provider Identifier [NPI]: |
1437132008 |
Last Name Of The Provider |
SCHIRO |
First Name Of The Provider |
JAMES |
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 |
11110 MEDICAL CAMPUS RD |
Street Address 2 Of The Provider |
SUITE 123 |
City Of The Provider |
HAGERSTOWN |
Zip Code Of The Provider |
217426700 |
State Code Of The Provider |
MD |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Dermatology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
102 |
Number Of Services |
5450 |
Number Of Medicare Beneficiaries |
1377 |
Total Submitted Charge Amount |
713857.8 |
Total Medicare Allowed Amount |
507428.24 |
Total Medicare Payment Amount |
370566.97 |
Total Medicare Standardized Payment Amount |
357237.35 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
109 |
Number Of Medicare Beneficiaries With Drug Services |
78 |
Total Drug Submitted ChargeAmount |
28554.8 |
Total Drug Medicare AllowedAmount |
23546.52 |
Total Drug Medicare PaymentAmount |
16401.86 |
Total Drug Medicare Standardized Payment Amount |
16401.86 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
100 |
Number Of Medical Services |
5341 |
Number Of Medicare Beneficiaries With Medical Services |
1377 |
Total Medical Submitted Charge Amount |
685303 |
Total Medical Medicare Allowed Amount |
483881.72 |
Total Medical Medicare Payment Amount |
354165.11 |
Total Medical Medicare Standardized Payment Amount |
340835.49 |
Average Age Of Beneficiaries |
77 |
Number Of Beneficiaries Age Less65 |
43 |
Number Of Beneficiaries Age 65 to 74 |
502 |
Number Of Beneficiaries Age 75 to 84 |
579 |
Number Of Beneficiaries Age Greater 84 |
253 |
Number Of Female Beneficiaries |
709 |
Number Of Male Beneficiaries |
668 |
Number Of Non Hispanic White Beneficiaries |
1348 |
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 |
18 |
Number Of Beneficiaries With Medicare Only Entitlement |
1320 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
57 |
Percent Of With Atrial Fibrillation |
13 |
Percent Of With Alzheimers Disease or Dementia |
7 |
Percent Of With Asthma |
8 |
Percent Of With Cancer |
10 |
Percent Of With Heart Failure |
14 |
Percent Of With Chronic Kidney Disease |
16 |
Percent Of With Chronic Obstructive Pulmonary Disease |
11 |
Percent Of With Depression |
13 |
Percent Of With Diabetes |
34 |
Percent Of With Hyperlipidemia |
64 |
Percent Of With Hypertension |
72 |
Percent Of With Ischemic Heart Disease |
33 |
Percent Of With Osteoporosis |
7 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
44 |
Percent Of With Schizophrenia Other PsychoticDisorders |
2 |
Percent Of With Stroke |
4 |
Average HCC Risk Score Of Beneficiaries |
1.1011 |