National Provider Identifier [NPI]: |
1518900638 |
Last Name Of The Provider |
SCHACHERE |
First Name Of The Provider |
RONALD |
Middle Initial Of The Provider |
M |
Credentials Of The Provider |
D.O. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1208 N UNIVERSITY DR |
Street Address 2 Of The Provider |
|
City Of The Provider |
PLANTATION |
Zip Code Of The Provider |
333224724 |
State Code Of The Provider |
FL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Internal Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
20 |
Number Of Services |
329 |
Number Of Medicare Beneficiaries |
30 |
Total Submitted Charge Amount |
24080 |
Total Medicare Allowed Amount |
16592.37 |
Total Medicare Payment Amount |
13029.5 |
Total Medicare Standardized Payment Amount |
12506.06 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
3 |
Number Of Drug Services |
46 |
Number Of Medicare Beneficiaries With Drug Services |
15 |
Total Drug Submitted ChargeAmount |
236 |
Total Drug Medicare AllowedAmount |
176.54 |
Total Drug Medicare PaymentAmount |
168.24 |
Total Drug Medicare Standardized Payment Amount |
168.24 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
17 |
Number Of Medical Services |
283 |
Number Of Medicare Beneficiaries With Medical Services |
30 |
Total Medical Submitted Charge Amount |
23844 |
Total Medical Medicare Allowed Amount |
16415.83 |
Total Medical Medicare Payment Amount |
12861.26 |
Total Medical Medicare Standardized Payment Amount |
12337.82 |
Average Age Of Beneficiaries |
76 |
Number Of Beneficiaries Age Less65 |
|
Number Of Beneficiaries Age 65 to 74 |
14 |
Number Of Beneficiaries Age 75 to 84 |
|
Number Of Beneficiaries Age Greater 84 |
|
Number Of Female Beneficiaries |
|
Number Of Male Beneficiaries |
|
Number Of Non Hispanic White Beneficiaries |
17 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
|
Number Of Beneficiaries With Medicare Medicaid Entitlement |
|
Percent Of With Atrial Fibrillation |
|
Percent Of With Alzheimers Disease or Dementia |
|
Percent Of With Asthma |
|
Percent Of With Cancer |
|
Percent Of With Heart Failure |
|
Percent Of With Chronic Kidney Disease |
60 |
Percent Of With Chronic Obstructive Pulmonary Disease |
|
Percent Of With Depression |
|
Percent Of With Diabetes |
70 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
70 |
Percent Of With Ischemic Heart Disease |
67 |
Percent Of With Osteoporosis |
|
Percent Of With Rheumatoid Arthritis Osteoarthritis |
|
Percent Of With Schizophrenia Other PsychoticDisorders |
0 |
Percent Of With Stroke |
|
Average HCC Risk Score Of Beneficiaries |
0.8028 |