National Provider Identifier [NPI]: |
1609842095 |
Last Name Of The Provider |
SCHULTZ |
First Name Of The Provider |
CHRISTOPHER |
Middle Initial Of The Provider |
J |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1000 TRANCAS ST |
Street Address 2 Of The Provider |
|
City Of The Provider |
NAPA |
Zip Code Of The Provider |
945582906 |
State Code Of The Provider |
CA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Diagnostic Radiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
169 |
Number Of Services |
3425 |
Number Of Medicare Beneficiaries |
2001 |
Total Submitted Charge Amount |
456401.5 |
Total Medicare Allowed Amount |
101563.89 |
Total Medicare Payment Amount |
80457.98 |
Total Medicare Standardized Payment Amount |
75069.65 |
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 |
169 |
Number Of Medical Services |
3425 |
Number Of Medicare Beneficiaries With Medical Services |
2001 |
Total Medical Submitted Charge Amount |
456401.5 |
Total Medical Medicare Allowed Amount |
101563.89 |
Total Medical Medicare Payment Amount |
80457.98 |
Total Medical Medicare Standardized Payment Amount |
75069.65 |
Average Age Of Beneficiaries |
76 |
Number Of Beneficiaries Age Less65 |
208 |
Number Of Beneficiaries Age 65 to 74 |
732 |
Number Of Beneficiaries Age 75 to 84 |
587 |
Number Of Beneficiaries Age Greater 84 |
474 |
Number Of Female Beneficiaries |
1191 |
Number Of Male Beneficiaries |
810 |
Number Of Non Hispanic White Beneficiaries |
1753 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
44 |
Number Of Hispanic Beneficiaries |
155 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
23 |
Number Of Beneficiaries With Medicare Only Entitlement |
1613 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
388 |
Percent Of With Atrial Fibrillation |
19 |
Percent Of With Alzheimers Disease or Dementia |
19 |
Percent Of With Asthma |
9 |
Percent Of With Cancer |
16 |
Percent Of With Heart Failure |
29 |
Percent Of With Chronic Kidney Disease |
35 |
Percent Of With Chronic Obstructive Pulmonary Disease |
19 |
Percent Of With Depression |
27 |
Percent Of With Diabetes |
28 |
Percent Of With Hyperlipidemia |
58 |
Percent Of With Hypertension |
72 |
Percent Of With Ischemic Heart Disease |
45 |
Percent Of With Osteoporosis |
12 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
50 |
Percent Of With Schizophrenia Other PsychoticDisorders |
4 |
Percent Of With Stroke |
9 |
Average HCC Risk Score Of Beneficiaries |
1.6336 |