National Provider Identifier [NPI]: |
1053452052 |
Last Name Of The Provider |
SCHWARTZ |
First Name Of The Provider |
DANIEL |
Middle Initial Of The Provider |
J |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
6410 ROCKLEDGE DRIVDE |
Street Address 2 Of The Provider |
SUITE 200 |
City Of The Provider |
BETHESDA |
Zip Code Of The Provider |
20817 |
State Code Of The Provider |
MD |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Internal Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
48 |
Number Of Services |
2848 |
Number Of Medicare Beneficiaries |
1238 |
Total Submitted Charge Amount |
715312 |
Total Medicare Allowed Amount |
302186.83 |
Total Medicare Payment Amount |
232603.29 |
Total Medicare Standardized Payment Amount |
207102.26 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
161 |
Number Of Medicare Beneficiaries With Drug Services |
40 |
Total Drug Submitted ChargeAmount |
19606 |
Total Drug Medicare AllowedAmount |
8478.68 |
Total Drug Medicare PaymentAmount |
6647.22 |
Total Drug Medicare Standardized Payment Amount |
6647.22 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
46 |
Number Of Medical Services |
2687 |
Number Of Medicare Beneficiaries With Medical Services |
1238 |
Total Medical Submitted Charge Amount |
695706 |
Total Medical Medicare Allowed Amount |
293708.15 |
Total Medical Medicare Payment Amount |
225956.07 |
Total Medical Medicare Standardized Payment Amount |
200455.04 |
Average Age Of Beneficiaries |
78 |
Number Of Beneficiaries Age Less65 |
52 |
Number Of Beneficiaries Age 65 to 74 |
373 |
Number Of Beneficiaries Age 75 to 84 |
472 |
Number Of Beneficiaries Age Greater 84 |
341 |
Number Of Female Beneficiaries |
646 |
Number Of Male Beneficiaries |
592 |
Number Of Non Hispanic White Beneficiaries |
1014 |
Number Of Black or African American Beneficiaries |
86 |
Number Of AsianPacific Islander Beneficiaries |
67 |
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
37 |
Number Of Beneficiaries With Medicare Only Entitlement |
1123 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
115 |
Percent Of With Atrial Fibrillation |
39 |
Percent Of With Alzheimers Disease or Dementia |
14 |
Percent Of With Asthma |
8 |
Percent Of With Cancer |
14 |
Percent Of With Heart Failure |
34 |
Percent Of With Chronic Kidney Disease |
32 |
Percent Of With Chronic Obstructive Pulmonary Disease |
13 |
Percent Of With Depression |
16 |
Percent Of With Diabetes |
29 |
Percent Of With Hyperlipidemia |
69 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
52 |
Percent Of With Osteoporosis |
10 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
40 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
11 |
Average HCC Risk Score Of Beneficiaries |
1.4839 |