National Provider Identifier [NPI]: |
1235107731 |
Last Name Of The Provider |
SCHWARTZERS |
First Name Of The Provider |
DEBRA |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
MD |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1801 S HIGHLAND AVE |
Street Address 2 Of The Provider |
STE 130 |
City Of The Provider |
LOMBARD |
Zip Code Of The Provider |
601484932 |
State Code Of The Provider |
IL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Pediatric Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
55 |
Number Of Services |
1062 |
Number Of Medicare Beneficiaries |
219 |
Total Submitted Charge Amount |
97888 |
Total Medicare Allowed Amount |
44753.78 |
Total Medicare Payment Amount |
32130.68 |
Total Medicare Standardized Payment Amount |
30438.98 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
10 |
Number Of Drug Services |
83 |
Number Of Medicare Beneficiaries With Drug Services |
55 |
Total Drug Submitted ChargeAmount |
2998 |
Total Drug Medicare AllowedAmount |
1752.83 |
Total Drug Medicare PaymentAmount |
1692.44 |
Total Drug Medicare Standardized Payment Amount |
1692.44 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
45 |
Number Of Medical Services |
979 |
Number Of Medicare Beneficiaries With Medical Services |
219 |
Total Medical Submitted Charge Amount |
94890 |
Total Medical Medicare Allowed Amount |
43000.95 |
Total Medical Medicare Payment Amount |
30438.24 |
Total Medical Medicare Standardized Payment Amount |
28746.54 |
Average Age Of Beneficiaries |
70 |
Number Of Beneficiaries Age Less65 |
22 |
Number Of Beneficiaries Age 65 to 74 |
123 |
Number Of Beneficiaries Age 75 to 84 |
60 |
Number Of Beneficiaries Age Greater 84 |
14 |
Number Of Female Beneficiaries |
170 |
Number Of Male Beneficiaries |
49 |
Number Of Non Hispanic White Beneficiaries |
196 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
193 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
26 |
Percent Of With Atrial Fibrillation |
8 |
Percent Of With Alzheimers Disease or Dementia |
5 |
Percent Of With Asthma |
7 |
Percent Of With Cancer |
9 |
Percent Of With Heart Failure |
11 |
Percent Of With Chronic Kidney Disease |
20 |
Percent Of With Chronic Obstructive Pulmonary Disease |
8 |
Percent Of With Depression |
12 |
Percent Of With Diabetes |
20 |
Percent Of With Hyperlipidemia |
45 |
Percent Of With Hypertension |
52 |
Percent Of With Ischemic Heart Disease |
23 |
Percent Of With Osteoporosis |
7 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
33 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
|
Average HCC Risk Score Of Beneficiaries |
0.9439 |