National Provider Identifier [NPI]: |
1851352462 |
Last Name Of The Provider |
SCHEINERT |
First Name Of The Provider |
SHELDON |
Middle Initial Of The Provider |
L |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1609 PASADENA AVE S |
Street Address 2 Of The Provider |
STE 3M |
City Of The Provider |
ST PETERSBURG |
Zip Code Of The Provider |
337074563 |
State Code Of The Provider |
FL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Gastroenterology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
45 |
Number Of Services |
2264 |
Number Of Medicare Beneficiaries |
840 |
Total Submitted Charge Amount |
668304 |
Total Medicare Allowed Amount |
229981.77 |
Total Medicare Payment Amount |
174345.81 |
Total Medicare Standardized Payment Amount |
168156.62 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
0 |
Number Of Drug Services |
0 |
Number Of Medicare Beneficiaries With Drug Services |
0 |
Total Drug Submitted ChargeAmount |
0 |
Total Drug Medicare AllowedAmount |
0 |
Total Drug Medicare PaymentAmount |
0 |
Total Drug Medicare Standardized Payment Amount |
0 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
45 |
Number Of Medical Services |
2264 |
Number Of Medicare Beneficiaries With Medical Services |
840 |
Total Medical Submitted Charge Amount |
668304 |
Total Medical Medicare Allowed Amount |
229981.77 |
Total Medical Medicare Payment Amount |
174345.81 |
Total Medical Medicare Standardized Payment Amount |
168156.62 |
Average Age Of Beneficiaries |
77 |
Number Of Beneficiaries Age Less65 |
43 |
Number Of Beneficiaries Age 65 to 74 |
268 |
Number Of Beneficiaries Age 75 to 84 |
337 |
Number Of Beneficiaries Age Greater 84 |
192 |
Number Of Female Beneficiaries |
497 |
Number Of Male Beneficiaries |
343 |
Number Of Non Hispanic White Beneficiaries |
795 |
Number Of Black or African American Beneficiaries |
23 |
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 |
774 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
66 |
Percent Of With Atrial Fibrillation |
15 |
Percent Of With Alzheimers Disease or Dementia |
15 |
Percent Of With Asthma |
7 |
Percent Of With Cancer |
19 |
Percent Of With Heart Failure |
18 |
Percent Of With Chronic Kidney Disease |
24 |
Percent Of With Chronic Obstructive Pulmonary Disease |
23 |
Percent Of With Depression |
23 |
Percent Of With Diabetes |
26 |
Percent Of With Hyperlipidemia |
64 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
43 |
Percent Of With Osteoporosis |
12 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
42 |
Percent Of With Schizophrenia Other PsychoticDisorders |
2 |
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
1.3186 |