National Provider Identifier [NPI]: |
1710924618 |
Last Name Of The Provider |
SCHEINBAUM |
First Name Of The Provider |
KAREN |
Middle Initial Of The Provider |
R |
Credentials Of The Provider |
MD |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
21214 NORTHWEST FWY |
Street Address 2 Of The Provider |
SUITE 220 |
City Of The Provider |
CYPRESS |
Zip Code Of The Provider |
774293373 |
State Code Of The Provider |
TX |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Diagnostic Radiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
122 |
Number Of Services |
2502 |
Number Of Medicare Beneficiaries |
1432 |
Total Submitted Charge Amount |
239367.74 |
Total Medicare Allowed Amount |
52977.1 |
Total Medicare Payment Amount |
40752.83 |
Total Medicare Standardized Payment Amount |
41602.67 |
Drug Suppress Indicator |
* |
Number Of HCPCS Associated With Drug Services |
|
Number Of Drug Services |
|
Number Of Medicare Beneficiaries With Drug Services |
|
Total Drug Submitted ChargeAmount |
|
Total Drug Medicare AllowedAmount |
|
Total Drug Medicare PaymentAmount |
|
Total Drug Medicare Standardized Payment Amount |
|
Medical SuppressIndicator |
# |
Number Of HCPCS Associated With MedicalServices |
|
Number Of Medical Services |
|
Number Of Medicare Beneficiaries With Medical Services |
|
Total Medical Submitted Charge Amount |
|
Total Medical Medicare Allowed Amount |
|
Total Medical Medicare Payment Amount |
|
Total Medical Medicare Standardized Payment Amount |
|
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
274 |
Number Of Beneficiaries Age 65 to 74 |
494 |
Number Of Beneficiaries Age 75 to 84 |
415 |
Number Of Beneficiaries Age Greater 84 |
249 |
Number Of Female Beneficiaries |
903 |
Number Of Male Beneficiaries |
529 |
Number Of Non Hispanic White Beneficiaries |
775 |
Number Of Black or African American Beneficiaries |
277 |
Number Of AsianPacific Islander Beneficiaries |
84 |
Number Of Hispanic Beneficiaries |
272 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
873 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
559 |
Percent Of With Atrial Fibrillation |
17 |
Percent Of With Alzheimers Disease or Dementia |
28 |
Percent Of With Asthma |
11 |
Percent Of With Cancer |
12 |
Percent Of With Heart Failure |
44 |
Percent Of With Chronic Kidney Disease |
45 |
Percent Of With Chronic Obstructive Pulmonary Disease |
31 |
Percent Of With Depression |
30 |
Percent Of With Diabetes |
50 |
Percent Of With Hyperlipidemia |
66 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
54 |
Percent Of With Osteoporosis |
13 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
48 |
Percent Of With Schizophrenia Other PsychoticDisorders |
12 |
Percent Of With Stroke |
15 |
Average HCC Risk Score Of Beneficiaries |
2.2218 |