National Provider Identifier [NPI]: |
1346248911 |
Last Name Of The Provider |
SCHWARTZ |
First Name Of The Provider |
JOYCE |
Middle Initial Of The Provider |
G |
Credentials Of The Provider |
MD |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
4085 DE ZAVALA RD |
Street Address 2 Of The Provider |
SUITE 200 |
City Of The Provider |
SHAVANO PARK |
Zip Code Of The Provider |
782492084 |
State Code Of The Provider |
TX |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Pathology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
26 |
Number Of Services |
3064 |
Number Of Medicare Beneficiaries |
1608 |
Total Submitted Charge Amount |
331849 |
Total Medicare Allowed Amount |
69565.22 |
Total Medicare Payment Amount |
54424.57 |
Total Medicare Standardized Payment Amount |
50666.33 |
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 |
26 |
Number Of Medical Services |
3064 |
Number Of Medicare Beneficiaries With Medical Services |
1608 |
Total Medical Submitted Charge Amount |
331849 |
Total Medical Medicare Allowed Amount |
69565.22 |
Total Medical Medicare Payment Amount |
54424.57 |
Total Medical Medicare Standardized Payment Amount |
50666.33 |
Average Age Of Beneficiaries |
71 |
Number Of Beneficiaries Age Less65 |
391 |
Number Of Beneficiaries Age 65 to 74 |
568 |
Number Of Beneficiaries Age 75 to 84 |
407 |
Number Of Beneficiaries Age Greater 84 |
242 |
Number Of Female Beneficiaries |
902 |
Number Of Male Beneficiaries |
706 |
Number Of Non Hispanic White Beneficiaries |
917 |
Number Of Black or African American Beneficiaries |
68 |
Number Of AsianPacific Islander Beneficiaries |
16 |
Number Of Hispanic Beneficiaries |
591 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
1168 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
440 |
Percent Of With Atrial Fibrillation |
19 |
Percent Of With Alzheimers Disease or Dementia |
22 |
Percent Of With Asthma |
14 |
Percent Of With Cancer |
16 |
Percent Of With Heart Failure |
50 |
Percent Of With Chronic Kidney Disease |
66 |
Percent Of With Chronic Obstructive Pulmonary Disease |
29 |
Percent Of With Depression |
37 |
Percent Of With Diabetes |
54 |
Percent Of With Hyperlipidemia |
70 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
62 |
Percent Of With Osteoporosis |
13 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
44 |
Percent Of With Schizophrenia Other PsychoticDisorders |
8 |
Percent Of With Stroke |
14 |
Average HCC Risk Score Of Beneficiaries |
2.822 |