National Provider Identifier [NPI]: |
1821098146 |
Last Name Of The Provider |
SCHOENECKER |
First Name Of The Provider |
STEVEN |
Middle Initial Of The Provider |
A |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
533 S 336TH ST |
Street Address 2 Of The Provider |
STE C |
City Of The Provider |
FEDERAL WAY |
Zip Code Of The Provider |
980036329 |
State Code Of The Provider |
WA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Diagnostic Radiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
128 |
Number Of Services |
5359 |
Number Of Medicare Beneficiaries |
2495 |
Total Submitted Charge Amount |
374819.7 |
Total Medicare Allowed Amount |
110410.78 |
Total Medicare Payment Amount |
84863.56 |
Total Medicare Standardized Payment Amount |
80986.34 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
1496 |
Number Of Medicare Beneficiaries With Drug Services |
23 |
Total Drug Submitted ChargeAmount |
2328.15 |
Total Drug Medicare AllowedAmount |
550.7 |
Total Drug Medicare PaymentAmount |
418.8 |
Total Drug Medicare Standardized Payment Amount |
418.8 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
126 |
Number Of Medical Services |
3863 |
Number Of Medicare Beneficiaries With Medical Services |
2495 |
Total Medical Submitted Charge Amount |
372491.55 |
Total Medical Medicare Allowed Amount |
109860.08 |
Total Medical Medicare Payment Amount |
84444.76 |
Total Medical Medicare Standardized Payment Amount |
80567.54 |
Average Age Of Beneficiaries |
72 |
Number Of Beneficiaries Age Less65 |
380 |
Number Of Beneficiaries Age 65 to 74 |
984 |
Number Of Beneficiaries Age 75 to 84 |
771 |
Number Of Beneficiaries Age Greater 84 |
360 |
Number Of Female Beneficiaries |
1694 |
Number Of Male Beneficiaries |
801 |
Number Of Non Hispanic White Beneficiaries |
1997 |
Number Of Black or African American Beneficiaries |
148 |
Number Of AsianPacific Islander Beneficiaries |
215 |
Number Of Hispanic Beneficiaries |
67 |
Number Of American Indian Alaska Native Beneficiaries |
18 |
Number Of Beneficiaries With Race Not Else where Classified |
50 |
Number Of Beneficiaries With Medicare Only Entitlement |
1856 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
639 |
Percent Of With Atrial Fibrillation |
14 |
Percent Of With Alzheimers Disease or Dementia |
13 |
Percent Of With Asthma |
10 |
Percent Of With Cancer |
13 |
Percent Of With Heart Failure |
22 |
Percent Of With Chronic Kidney Disease |
32 |
Percent Of With Chronic Obstructive Pulmonary Disease |
21 |
Percent Of With Depression |
25 |
Percent Of With Diabetes |
32 |
Percent Of With Hyperlipidemia |
48 |
Percent Of With Hypertension |
65 |
Percent Of With Ischemic Heart Disease |
28 |
Percent Of With Osteoporosis |
8 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
37 |
Percent Of With Schizophrenia Other PsychoticDisorders |
5 |
Percent Of With Stroke |
6 |
Average HCC Risk Score Of Beneficiaries |
1.4688 |