National Provider Identifier [NPI]: |
1780848036 |
Last Name Of The Provider |
SCHWARTZ |
First Name Of The Provider |
ZEMFIRA |
Middle Initial Of The Provider |
L |
Credentials Of The Provider |
MD |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1400 N LAVENTURE RD |
Street Address 2 Of The Provider |
|
City Of The Provider |
MOUNT VERNON |
Zip Code Of The Provider |
982732766 |
State Code Of The Provider |
WA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Family Practice |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
25 |
Number Of Services |
220 |
Number Of Medicare Beneficiaries |
57 |
Total Submitted Charge Amount |
4180.77 |
Total Medicare Allowed Amount |
2721.56 |
Total Medicare Payment Amount |
2457.65 |
Total Medicare Standardized Payment Amount |
2484.76 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
5 |
Number Of Drug Services |
14 |
Number Of Medicare Beneficiaries With Drug Services |
11 |
Total Drug Submitted ChargeAmount |
359 |
Total Drug Medicare AllowedAmount |
354.24 |
Total Drug Medicare PaymentAmount |
347.08 |
Total Drug Medicare Standardized Payment Amount |
347.08 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
20 |
Number Of Medical Services |
206 |
Number Of Medicare Beneficiaries With Medical Services |
57 |
Total Medical Submitted Charge Amount |
3821.77 |
Total Medical Medicare Allowed Amount |
2367.32 |
Total Medical Medicare Payment Amount |
2110.57 |
Total Medical Medicare Standardized Payment Amount |
2137.68 |
Average Age Of Beneficiaries |
64 |
Number Of Beneficiaries Age Less65 |
|
Number Of Beneficiaries Age 65 to 74 |
28 |
Number Of Beneficiaries Age 75 to 84 |
|
Number Of Beneficiaries Age Greater 84 |
|
Number Of Female Beneficiaries |
33 |
Number Of Male Beneficiaries |
24 |
Number Of Non Hispanic White Beneficiaries |
37 |
Number Of Black or African American Beneficiaries |
|
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 |
27 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
30 |
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 |
|
Percent Of With Chronic Obstructive Pulmonary Disease |
|
Percent Of With Depression |
28 |
Percent Of With Diabetes |
33 |
Percent Of With Hyperlipidemia |
25 |
Percent Of With Hypertension |
42 |
Percent Of With Ischemic Heart Disease |
19 |
Percent Of With Osteoporosis |
0 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
23 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
|
Average HCC Risk Score Of Beneficiaries |
1.1213 |