National Provider Identifier [NPI]: |
1710921697 |
Last Name Of The Provider |
SCHILLER |
First Name Of The Provider |
TERRENCE |
Middle Initial Of The Provider |
G |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
27 COVERED BRIDGE RD |
Street Address 2 Of The Provider |
|
City Of The Provider |
CHERRY HILL |
Zip Code Of The Provider |
080342945 |
State Code Of The Provider |
NJ |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Internal Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
41 |
Number Of Services |
3236 |
Number Of Medicare Beneficiaries |
832 |
Total Submitted Charge Amount |
426781 |
Total Medicare Allowed Amount |
306273.17 |
Total Medicare Payment Amount |
233701.41 |
Total Medicare Standardized Payment Amount |
221299.4 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
5 |
Number Of Drug Services |
39 |
Number Of Medicare Beneficiaries With Drug Services |
32 |
Total Drug Submitted ChargeAmount |
2995 |
Total Drug Medicare AllowedAmount |
2154.03 |
Total Drug Medicare PaymentAmount |
2107.2 |
Total Drug Medicare Standardized Payment Amount |
2107.2 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
36 |
Number Of Medical Services |
3197 |
Number Of Medicare Beneficiaries With Medical Services |
832 |
Total Medical Submitted Charge Amount |
423786 |
Total Medical Medicare Allowed Amount |
304119.14 |
Total Medical Medicare Payment Amount |
231594.21 |
Total Medical Medicare Standardized Payment Amount |
219192.2 |
Average Age Of Beneficiaries |
75 |
Number Of Beneficiaries Age Less65 |
144 |
Number Of Beneficiaries Age 65 to 74 |
226 |
Number Of Beneficiaries Age 75 to 84 |
235 |
Number Of Beneficiaries Age Greater 84 |
227 |
Number Of Female Beneficiaries |
469 |
Number Of Male Beneficiaries |
363 |
Number Of Non Hispanic White Beneficiaries |
698 |
Number Of Black or African American Beneficiaries |
93 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
25 |
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
601 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
231 |
Percent Of With Atrial Fibrillation |
24 |
Percent Of With Alzheimers Disease or Dementia |
36 |
Percent Of With Asthma |
18 |
Percent Of With Cancer |
16 |
Percent Of With Heart Failure |
41 |
Percent Of With Chronic Kidney Disease |
42 |
Percent Of With Chronic Obstructive Pulmonary Disease |
35 |
Percent Of With Depression |
38 |
Percent Of With Diabetes |
50 |
Percent Of With Hyperlipidemia |
73 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
62 |
Percent Of With Osteoporosis |
17 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
49 |
Percent Of With Schizophrenia Other PsychoticDisorders |
16 |
Percent Of With Stroke |
18 |
Average HCC Risk Score Of Beneficiaries |
1.9826 |