National Provider Identifier [NPI]: |
1124085758 |
Last Name Of The Provider |
SCHWARTZ |
First Name Of The Provider |
CHRISTIAN |
Middle Initial Of The Provider |
B |
Credentials Of The Provider |
DO |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
600 EAST FIRST STREET |
Street Address 2 Of The Provider |
|
City Of The Provider |
SPRING VALLEY |
Zip Code Of The Provider |
61362 |
State Code Of The Provider |
IL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Urology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
131 |
Number Of Services |
13244 |
Number Of Medicare Beneficiaries |
1974 |
Total Submitted Charge Amount |
1132934.23 |
Total Medicare Allowed Amount |
998134.95 |
Total Medicare Payment Amount |
735182.44 |
Total Medicare Standardized Payment Amount |
760715.44 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
3 |
Number Of Drug Services |
3752 |
Number Of Medicare Beneficiaries With Drug Services |
105 |
Total Drug Submitted ChargeAmount |
245665.6 |
Total Drug Medicare AllowedAmount |
201654.97 |
Total Drug Medicare PaymentAmount |
156278.9 |
Total Drug Medicare Standardized Payment Amount |
156278.9 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
128 |
Number Of Medical Services |
9492 |
Number Of Medicare Beneficiaries With Medical Services |
1974 |
Total Medical Submitted Charge Amount |
887268.63 |
Total Medical Medicare Allowed Amount |
796479.98 |
Total Medical Medicare Payment Amount |
578903.54 |
Total Medical Medicare Standardized Payment Amount |
604436.54 |
Average Age Of Beneficiaries |
76 |
Number Of Beneficiaries Age Less65 |
142 |
Number Of Beneficiaries Age 65 to 74 |
745 |
Number Of Beneficiaries Age 75 to 84 |
717 |
Number Of Beneficiaries Age Greater 84 |
370 |
Number Of Female Beneficiaries |
497 |
Number Of Male Beneficiaries |
1477 |
Number Of Non Hispanic White Beneficiaries |
1903 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
38 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
1771 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
203 |
Percent Of With Atrial Fibrillation |
13 |
Percent Of With Alzheimers Disease or Dementia |
10 |
Percent Of With Asthma |
5 |
Percent Of With Cancer |
24 |
Percent Of With Heart Failure |
18 |
Percent Of With Chronic Kidney Disease |
25 |
Percent Of With Chronic Obstructive Pulmonary Disease |
16 |
Percent Of With Depression |
14 |
Percent Of With Diabetes |
29 |
Percent Of With Hyperlipidemia |
52 |
Percent Of With Hypertension |
67 |
Percent Of With Ischemic Heart Disease |
34 |
Percent Of With Osteoporosis |
5 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
37 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
4 |
Average HCC Risk Score Of Beneficiaries |
1.1552 |