National Provider Identifier [NPI]: |
1972537884 |
Last Name Of The Provider |
SCHUBERT |
First Name Of The Provider |
ROBERT |
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 |
2100 GLENWOOD AVE |
Street Address 2 Of The Provider |
|
City Of The Provider |
JOLIET |
Zip Code Of The Provider |
604355487 |
State Code Of The Provider |
IL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Internal Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
172 |
Number Of Services |
10064 |
Number Of Medicare Beneficiaries |
971 |
Total Submitted Charge Amount |
1040145.66 |
Total Medicare Allowed Amount |
464043.68 |
Total Medicare Payment Amount |
353676.15 |
Total Medicare Standardized Payment Amount |
350923.97 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
15 |
Number Of Drug Services |
350 |
Number Of Medicare Beneficiaries With Drug Services |
216 |
Total Drug Submitted ChargeAmount |
17224.5 |
Total Drug Medicare AllowedAmount |
8040.37 |
Total Drug Medicare PaymentAmount |
7605.7 |
Total Drug Medicare Standardized Payment Amount |
7605.7 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
157 |
Number Of Medical Services |
9714 |
Number Of Medicare Beneficiaries With Medical Services |
971 |
Total Medical Submitted Charge Amount |
1022921.16 |
Total Medical Medicare Allowed Amount |
456003.31 |
Total Medical Medicare Payment Amount |
346070.45 |
Total Medical Medicare Standardized Payment Amount |
343318.27 |
Average Age Of Beneficiaries |
75 |
Number Of Beneficiaries Age Less65 |
55 |
Number Of Beneficiaries Age 65 to 74 |
459 |
Number Of Beneficiaries Age 75 to 84 |
290 |
Number Of Beneficiaries Age Greater 84 |
167 |
Number Of Female Beneficiaries |
525 |
Number Of Male Beneficiaries |
446 |
Number Of Non Hispanic White Beneficiaries |
901 |
Number Of Black or African American Beneficiaries |
37 |
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 |
924 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
47 |
Percent Of With Atrial Fibrillation |
13 |
Percent Of With Alzheimers Disease or Dementia |
10 |
Percent Of With Asthma |
6 |
Percent Of With Cancer |
11 |
Percent Of With Heart Failure |
13 |
Percent Of With Chronic Kidney Disease |
18 |
Percent Of With Chronic Obstructive Pulmonary Disease |
11 |
Percent Of With Depression |
13 |
Percent Of With Diabetes |
32 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
72 |
Percent Of With Ischemic Heart Disease |
29 |
Percent Of With Osteoporosis |
9 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
37 |
Percent Of With Schizophrenia Other PsychoticDisorders |
2 |
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
1.0147 |