National Provider Identifier [NPI]: |
1750366092 |
Last Name Of The Provider |
SCHNEIDER |
First Name Of The Provider |
MARY |
Middle Initial Of The Provider |
A |
Credentials Of The Provider |
PA-C |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
48677 VICTORIA LN |
Street Address 2 Of The Provider |
|
City Of The Provider |
OAKHURST |
Zip Code Of The Provider |
936449216 |
State Code Of The Provider |
CA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Physician Assistant |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
32 |
Number Of Services |
478 |
Number Of Medicare Beneficiaries |
242 |
Total Submitted Charge Amount |
48478 |
Total Medicare Allowed Amount |
34742.88 |
Total Medicare Payment Amount |
23169.3 |
Total Medicare Standardized Payment Amount |
27277.21 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
4 |
Number Of Drug Services |
21 |
Number Of Medicare Beneficiaries With Drug Services |
18 |
Total Drug Submitted ChargeAmount |
965 |
Total Drug Medicare AllowedAmount |
885.92 |
Total Drug Medicare PaymentAmount |
863.91 |
Total Drug Medicare Standardized Payment Amount |
863.91 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
28 |
Number Of Medical Services |
457 |
Number Of Medicare Beneficiaries With Medical Services |
242 |
Total Medical Submitted Charge Amount |
47513 |
Total Medical Medicare Allowed Amount |
33856.96 |
Total Medical Medicare Payment Amount |
22305.39 |
Total Medical Medicare Standardized Payment Amount |
26413.3 |
Average Age Of Beneficiaries |
75 |
Number Of Beneficiaries Age Less65 |
|
Number Of Beneficiaries Age 65 to 74 |
126 |
Number Of Beneficiaries Age 75 to 84 |
66 |
Number Of Beneficiaries Age Greater 84 |
|
Number Of Female Beneficiaries |
150 |
Number Of Male Beneficiaries |
92 |
Number Of Non Hispanic White Beneficiaries |
222 |
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 |
|
Number Of Beneficiaries With Medicare Medicaid Entitlement |
|
Percent Of With Atrial Fibrillation |
7 |
Percent Of With Alzheimers Disease or Dementia |
6 |
Percent Of With Asthma |
5 |
Percent Of With Cancer |
7 |
Percent Of With Heart Failure |
10 |
Percent Of With Chronic Kidney Disease |
16 |
Percent Of With Chronic Obstructive Pulmonary Disease |
8 |
Percent Of With Depression |
13 |
Percent Of With Diabetes |
17 |
Percent Of With Hyperlipidemia |
56 |
Percent Of With Hypertension |
53 |
Percent Of With Ischemic Heart Disease |
18 |
Percent Of With Osteoporosis |
10 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
33 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
0.7722 |