National Provider Identifier [NPI]: |
1295775302 |
Last Name Of The Provider |
SCHULMAN |
First Name Of The Provider |
JEAN |
Middle Initial Of The Provider |
C |
Credentials Of The Provider |
MD |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
13640 N PLAZA DEL RIO BLVD |
Street Address 2 Of The Provider |
STE 120 |
City Of The Provider |
PEORIA |
Zip Code Of The Provider |
853814846 |
State Code Of The Provider |
AZ |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Hematology/Oncology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
92 |
Number Of Services |
69930 |
Number Of Medicare Beneficiaries |
547 |
Total Submitted Charge Amount |
2256875.9 |
Total Medicare Allowed Amount |
1077187.46 |
Total Medicare Payment Amount |
835960.34 |
Total Medicare Standardized Payment Amount |
832770.3 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
52 |
Number Of Drug Services |
66863 |
Number Of Medicare Beneficiaries With Drug Services |
115 |
Total Drug Submitted ChargeAmount |
1769300.9 |
Total Drug Medicare AllowedAmount |
853593.22 |
Total Drug Medicare PaymentAmount |
667065.79 |
Total Drug Medicare Standardized Payment Amount |
667065.79 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
40 |
Number Of Medical Services |
3067 |
Number Of Medicare Beneficiaries With Medical Services |
547 |
Total Medical Submitted Charge Amount |
487575 |
Total Medical Medicare Allowed Amount |
223594.24 |
Total Medical Medicare Payment Amount |
168894.55 |
Total Medical Medicare Standardized Payment Amount |
165704.51 |
Average Age Of Beneficiaries |
77 |
Number Of Beneficiaries Age Less65 |
|
Number Of Beneficiaries Age 65 to 74 |
203 |
Number Of Beneficiaries Age 75 to 84 |
226 |
Number Of Beneficiaries Age Greater 84 |
|
Number Of Female Beneficiaries |
358 |
Number Of Male Beneficiaries |
189 |
Number Of Non Hispanic White Beneficiaries |
521 |
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 |
|
Number Of Beneficiaries With Medicare Only Entitlement |
536 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
11 |
Percent Of With Atrial Fibrillation |
15 |
Percent Of With Alzheimers Disease or Dementia |
7 |
Percent Of With Asthma |
10 |
Percent Of With Cancer |
54 |
Percent Of With Heart Failure |
16 |
Percent Of With Chronic Kidney Disease |
31 |
Percent Of With Chronic Obstructive Pulmonary Disease |
22 |
Percent Of With Depression |
17 |
Percent Of With Diabetes |
25 |
Percent Of With Hyperlipidemia |
56 |
Percent Of With Hypertension |
66 |
Percent Of With Ischemic Heart Disease |
39 |
Percent Of With Osteoporosis |
14 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
46 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
6 |
Average HCC Risk Score Of Beneficiaries |
1.7398 |