National Provider Identifier [NPI]: |
1518952266 |
Last Name Of The Provider |
SCHNEIDER |
First Name Of The Provider |
KURT |
Middle Initial Of The Provider |
W |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
6803 MAYFIELD RD |
Street Address 2 Of The Provider |
SUITE 418 |
City Of The Provider |
MAYFIELD HTS |
Zip Code Of The Provider |
441242271 |
State Code Of The Provider |
OH |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Urology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
89 |
Number Of Services |
3803 |
Number Of Medicare Beneficiaries |
690 |
Total Submitted Charge Amount |
564387 |
Total Medicare Allowed Amount |
286354.45 |
Total Medicare Payment Amount |
215388.52 |
Total Medicare Standardized Payment Amount |
222944.26 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
4 |
Number Of Drug Services |
611 |
Number Of Medicare Beneficiaries With Drug Services |
22 |
Total Drug Submitted ChargeAmount |
28265 |
Total Drug Medicare AllowedAmount |
22637.98 |
Total Drug Medicare PaymentAmount |
17738.46 |
Total Drug Medicare Standardized Payment Amount |
17738.46 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
85 |
Number Of Medical Services |
3192 |
Number Of Medicare Beneficiaries With Medical Services |
690 |
Total Medical Submitted Charge Amount |
536122 |
Total Medical Medicare Allowed Amount |
263716.47 |
Total Medical Medicare Payment Amount |
197650.06 |
Total Medical Medicare Standardized Payment Amount |
205205.8 |
Average Age Of Beneficiaries |
75 |
Number Of Beneficiaries Age Less65 |
56 |
Number Of Beneficiaries Age 65 to 74 |
266 |
Number Of Beneficiaries Age 75 to 84 |
238 |
Number Of Beneficiaries Age Greater 84 |
130 |
Number Of Female Beneficiaries |
186 |
Number Of Male Beneficiaries |
504 |
Number Of Non Hispanic White Beneficiaries |
630 |
Number Of Black or African American Beneficiaries |
43 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
572 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
118 |
Percent Of With Atrial Fibrillation |
18 |
Percent Of With Alzheimers Disease or Dementia |
19 |
Percent Of With Asthma |
8 |
Percent Of With Cancer |
20 |
Percent Of With Heart Failure |
26 |
Percent Of With Chronic Kidney Disease |
42 |
Percent Of With Chronic Obstructive Pulmonary Disease |
20 |
Percent Of With Depression |
25 |
Percent Of With Diabetes |
36 |
Percent Of With Hyperlipidemia |
62 |
Percent Of With Hypertension |
74 |
Percent Of With Ischemic Heart Disease |
48 |
Percent Of With Osteoporosis |
8 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
48 |
Percent Of With Schizophrenia Other PsychoticDisorders |
10 |
Percent Of With Stroke |
6 |
Average HCC Risk Score Of Beneficiaries |
1.5003 |