National Provider Identifier [NPI]: |
1194706374 |
Last Name Of The Provider |
SCHROEDER |
First Name Of The Provider |
KEITH |
Middle Initial Of The Provider |
E |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
929 W HIGGINS RD |
Street Address 2 Of The Provider |
|
City Of The Provider |
SCHAUMBURG |
Zip Code Of The Provider |
601953203 |
State Code Of The Provider |
IL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Orthopedic Surgery |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
92 |
Number Of Services |
37336 |
Number Of Medicare Beneficiaries |
860 |
Total Submitted Charge Amount |
4376786.48 |
Total Medicare Allowed Amount |
942666.69 |
Total Medicare Payment Amount |
722896.56 |
Total Medicare Standardized Payment Amount |
676336.9 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
5 |
Number Of Drug Services |
32372 |
Number Of Medicare Beneficiaries With Drug Services |
517 |
Total Drug Submitted ChargeAmount |
1773070.48 |
Total Drug Medicare AllowedAmount |
411229.4 |
Total Drug Medicare PaymentAmount |
321602.87 |
Total Drug Medicare Standardized Payment Amount |
321602.87 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
87 |
Number Of Medical Services |
4964 |
Number Of Medicare Beneficiaries With Medical Services |
860 |
Total Medical Submitted Charge Amount |
2603716 |
Total Medical Medicare Allowed Amount |
531437.29 |
Total Medical Medicare Payment Amount |
401293.69 |
Total Medical Medicare Standardized Payment Amount |
354734.03 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
43 |
Number Of Beneficiaries Age 65 to 74 |
435 |
Number Of Beneficiaries Age 75 to 84 |
271 |
Number Of Beneficiaries Age Greater 84 |
111 |
Number Of Female Beneficiaries |
581 |
Number Of Male Beneficiaries |
279 |
Number Of Non Hispanic White Beneficiaries |
779 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
36 |
Number Of Hispanic Beneficiaries |
22 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
796 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
64 |
Percent Of With Atrial Fibrillation |
13 |
Percent Of With Alzheimers Disease or Dementia |
7 |
Percent Of With Asthma |
8 |
Percent Of With Cancer |
12 |
Percent Of With Heart Failure |
14 |
Percent Of With Chronic Kidney Disease |
21 |
Percent Of With Chronic Obstructive Pulmonary Disease |
11 |
Percent Of With Depression |
19 |
Percent Of With Diabetes |
28 |
Percent Of With Hyperlipidemia |
67 |
Percent Of With Hypertension |
72 |
Percent Of With Ischemic Heart Disease |
30 |
Percent Of With Osteoporosis |
9 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
75 |
Percent Of With Schizophrenia Other PsychoticDisorders |
1 |
Percent Of With Stroke |
4 |
Average HCC Risk Score Of Beneficiaries |
1.075 |