National Provider Identifier [NPI]: |
1811962814 |
Last Name Of The Provider |
SCHULTZ |
First Name Of The Provider |
NEIL |
Middle Initial Of The Provider |
A |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
2825 N STATE RD 7 |
Street Address 2 Of The Provider |
SUITE 200 |
City Of The Provider |
MARGATE |
Zip Code Of The Provider |
33063 |
State Code Of The Provider |
FL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Cardiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
78 |
Number Of Services |
14274 |
Number Of Medicare Beneficiaries |
986 |
Total Submitted Charge Amount |
1285080 |
Total Medicare Allowed Amount |
608750.61 |
Total Medicare Payment Amount |
468118.92 |
Total Medicare Standardized Payment Amount |
450854.02 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
7 |
Number Of Drug Services |
3788 |
Number Of Medicare Beneficiaries With Drug Services |
252 |
Total Drug Submitted ChargeAmount |
103302.48 |
Total Drug Medicare AllowedAmount |
54269.37 |
Total Drug Medicare PaymentAmount |
43059.21 |
Total Drug Medicare Standardized Payment Amount |
43059.21 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
71 |
Number Of Medical Services |
10486 |
Number Of Medicare Beneficiaries With Medical Services |
986 |
Total Medical Submitted Charge Amount |
1181777.52 |
Total Medical Medicare Allowed Amount |
554481.24 |
Total Medical Medicare Payment Amount |
425059.71 |
Total Medical Medicare Standardized Payment Amount |
407794.81 |
Average Age Of Beneficiaries |
79 |
Number Of Beneficiaries Age Less65 |
77 |
Number Of Beneficiaries Age 65 to 74 |
256 |
Number Of Beneficiaries Age 75 to 84 |
282 |
Number Of Beneficiaries Age Greater 84 |
371 |
Number Of Female Beneficiaries |
589 |
Number Of Male Beneficiaries |
397 |
Number Of Non Hispanic White Beneficiaries |
830 |
Number Of Black or African American Beneficiaries |
68 |
Number Of AsianPacific Islander Beneficiaries |
16 |
Number Of Hispanic Beneficiaries |
59 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
813 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
173 |
Percent Of With Atrial Fibrillation |
26 |
Percent Of With Alzheimers Disease or Dementia |
27 |
Percent Of With Asthma |
13 |
Percent Of With Cancer |
17 |
Percent Of With Heart Failure |
42 |
Percent Of With Chronic Kidney Disease |
41 |
Percent Of With Chronic Obstructive Pulmonary Disease |
25 |
Percent Of With Depression |
31 |
Percent Of With Diabetes |
43 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
69 |
Percent Of With Osteoporosis |
18 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
51 |
Percent Of With Schizophrenia Other PsychoticDisorders |
8 |
Percent Of With Stroke |
10 |
Average HCC Risk Score Of Beneficiaries |
2.083 |