National Provider Identifier [NPI]: |
1982652095 |
Last Name Of The Provider |
SCHWARTZBERG |
First Name Of The Provider |
MARC |
Middle Initial Of The Provider |
S |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
801 E DIXIE AVE |
Street Address 2 Of The Provider |
SUITE 104 |
City Of The Provider |
LEESBURG |
Zip Code Of The Provider |
347487601 |
State Code Of The Provider |
FL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Interventional Radiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
300 |
Number Of Services |
33261 |
Number Of Medicare Beneficiaries |
1896 |
Total Submitted Charge Amount |
1113239 |
Total Medicare Allowed Amount |
472279.13 |
Total Medicare Payment Amount |
362566.57 |
Total Medicare Standardized Payment Amount |
362736.92 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
8 |
Number Of Drug Services |
30033 |
Number Of Medicare Beneficiaries With Drug Services |
427 |
Total Drug Submitted ChargeAmount |
74802 |
Total Drug Medicare AllowedAmount |
8228.74 |
Total Drug Medicare PaymentAmount |
6443.08 |
Total Drug Medicare Standardized Payment Amount |
6443.08 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
292 |
Number Of Medical Services |
3228 |
Number Of Medicare Beneficiaries With Medical Services |
1883 |
Total Medical Submitted Charge Amount |
1038437 |
Total Medical Medicare Allowed Amount |
464050.39 |
Total Medical Medicare Payment Amount |
356123.49 |
Total Medical Medicare Standardized Payment Amount |
356293.84 |
Average Age Of Beneficiaries |
75 |
Number Of Beneficiaries Age Less65 |
115 |
Number Of Beneficiaries Age 65 to 74 |
733 |
Number Of Beneficiaries Age 75 to 84 |
783 |
Number Of Beneficiaries Age Greater 84 |
265 |
Number Of Female Beneficiaries |
926 |
Number Of Male Beneficiaries |
970 |
Number Of Non Hispanic White Beneficiaries |
1768 |
Number Of Black or African American Beneficiaries |
68 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
36 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
1692 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
204 |
Percent Of With Atrial Fibrillation |
24 |
Percent Of With Alzheimers Disease or Dementia |
18 |
Percent Of With Asthma |
8 |
Percent Of With Cancer |
21 |
Percent Of With Heart Failure |
35 |
Percent Of With Chronic Kidney Disease |
44 |
Percent Of With Chronic Obstructive Pulmonary Disease |
32 |
Percent Of With Depression |
30 |
Percent Of With Diabetes |
39 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
69 |
Percent Of With Osteoporosis |
10 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
48 |
Percent Of With Schizophrenia Other PsychoticDisorders |
5 |
Percent Of With Stroke |
13 |
Average HCC Risk Score Of Beneficiaries |
1.9385 |