National Provider Identifier [NPI]: |
1649425331 |
Last Name Of The Provider |
SCHNELL |
First Name Of The Provider |
JEFFREY |
Middle Initial Of The Provider |
T |
Credentials Of The Provider |
DPM |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
117 TRADEPARK DR |
Street Address 2 Of The Provider |
|
City Of The Provider |
SOMERSET |
Zip Code Of The Provider |
425033428 |
State Code Of The Provider |
KY |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Podiatry |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
44 |
Number Of Services |
5286 |
Number Of Medicare Beneficiaries |
1140 |
Total Submitted Charge Amount |
541165 |
Total Medicare Allowed Amount |
283424.56 |
Total Medicare Payment Amount |
205964.11 |
Total Medicare Standardized Payment Amount |
223762.65 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
463 |
Number Of Medicare Beneficiaries With Drug Services |
108 |
Total Drug Submitted ChargeAmount |
2315 |
Total Drug Medicare AllowedAmount |
424.25 |
Total Drug Medicare PaymentAmount |
330.73 |
Total Drug Medicare Standardized Payment Amount |
330.73 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
42 |
Number Of Medical Services |
4823 |
Number Of Medicare Beneficiaries With Medical Services |
1140 |
Total Medical Submitted Charge Amount |
538850 |
Total Medical Medicare Allowed Amount |
283000.31 |
Total Medical Medicare Payment Amount |
205633.38 |
Total Medical Medicare Standardized Payment Amount |
223431.92 |
Average Age Of Beneficiaries |
75 |
Number Of Beneficiaries Age Less65 |
143 |
Number Of Beneficiaries Age 65 to 74 |
380 |
Number Of Beneficiaries Age 75 to 84 |
388 |
Number Of Beneficiaries Age Greater 84 |
229 |
Number Of Female Beneficiaries |
688 |
Number Of Male Beneficiaries |
452 |
Number Of Non Hispanic White Beneficiaries |
1030 |
Number Of Black or African American Beneficiaries |
91 |
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 |
924 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
216 |
Percent Of With Atrial Fibrillation |
16 |
Percent Of With Alzheimers Disease or Dementia |
13 |
Percent Of With Asthma |
8 |
Percent Of With Cancer |
8 |
Percent Of With Heart Failure |
20 |
Percent Of With Chronic Kidney Disease |
19 |
Percent Of With Chronic Obstructive Pulmonary Disease |
16 |
Percent Of With Depression |
22 |
Percent Of With Diabetes |
45 |
Percent Of With Hyperlipidemia |
65 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
39 |
Percent Of With Osteoporosis |
8 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
50 |
Percent Of With Schizophrenia Other PsychoticDisorders |
5 |
Percent Of With Stroke |
6 |
Average HCC Risk Score Of Beneficiaries |
1.4359 |