National Provider Identifier [NPI]: |
1851319180 |
Last Name Of The Provider |
SCHENKEIN |
First Name Of The Provider |
JEREMY |
Middle Initial Of The Provider |
G |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
7497 RIGHT FLANK RD |
Street Address 2 Of The Provider |
SUITE 520 |
City Of The Provider |
MECHANICSVILLE |
Zip Code Of The Provider |
231163847 |
State Code Of The Provider |
VA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Pulmonary Disease |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
43 |
Number Of Services |
2479 |
Number Of Medicare Beneficiaries |
750 |
Total Submitted Charge Amount |
625219 |
Total Medicare Allowed Amount |
218812.14 |
Total Medicare Payment Amount |
166430.13 |
Total Medicare Standardized Payment Amount |
170594.61 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
4 |
Number Of Drug Services |
271 |
Number Of Medicare Beneficiaries With Drug Services |
23 |
Total Drug Submitted ChargeAmount |
12958 |
Total Drug Medicare AllowedAmount |
7041.91 |
Total Drug Medicare PaymentAmount |
5570.85 |
Total Drug Medicare Standardized Payment Amount |
5570.85 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
39 |
Number Of Medical Services |
2208 |
Number Of Medicare Beneficiaries With Medical Services |
750 |
Total Medical Submitted Charge Amount |
612261 |
Total Medical Medicare Allowed Amount |
211770.23 |
Total Medical Medicare Payment Amount |
160859.28 |
Total Medical Medicare Standardized Payment Amount |
165023.76 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
78 |
Number Of Beneficiaries Age 65 to 74 |
289 |
Number Of Beneficiaries Age 75 to 84 |
270 |
Number Of Beneficiaries Age Greater 84 |
113 |
Number Of Female Beneficiaries |
386 |
Number Of Male Beneficiaries |
364 |
Number Of Non Hispanic White Beneficiaries |
577 |
Number Of Black or African American Beneficiaries |
152 |
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 |
642 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
108 |
Percent Of With Atrial Fibrillation |
27 |
Percent Of With Alzheimers Disease or Dementia |
16 |
Percent Of With Asthma |
21 |
Percent Of With Cancer |
22 |
Percent Of With Heart Failure |
50 |
Percent Of With Chronic Kidney Disease |
53 |
Percent Of With Chronic Obstructive Pulmonary Disease |
56 |
Percent Of With Depression |
27 |
Percent Of With Diabetes |
44 |
Percent Of With Hyperlipidemia |
69 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
61 |
Percent Of With Osteoporosis |
9 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
44 |
Percent Of With Schizophrenia Other PsychoticDisorders |
4 |
Percent Of With Stroke |
13 |
Average HCC Risk Score Of Beneficiaries |
2.1201 |