National Provider Identifier [NPI]: |
1043387624 |
Last Name Of The Provider |
SCHNAPP |
First Name Of The Provider |
MOACIR |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
55 HUMPHREYS CENTER DRIVE SUITE 200 |
Street Address 2 Of The Provider |
PAIN CLINIC ASSOCIATES PC |
City Of The Provider |
MEMPHIS |
Zip Code Of The Provider |
381202366 |
State Code Of The Provider |
TN |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Interventional Pain Management |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
48 |
Number Of Services |
7424 |
Number Of Medicare Beneficiaries |
757 |
Total Submitted Charge Amount |
1684473.5 |
Total Medicare Allowed Amount |
424636.9 |
Total Medicare Payment Amount |
316225.76 |
Total Medicare Standardized Payment Amount |
278813.45 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
105 |
Number Of Medicare Beneficiaries With Drug Services |
75 |
Total Drug Submitted ChargeAmount |
1050 |
Total Drug Medicare AllowedAmount |
326.2 |
Total Drug Medicare PaymentAmount |
229.6 |
Total Drug Medicare Standardized Payment Amount |
229.6 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
46 |
Number Of Medical Services |
7319 |
Number Of Medicare Beneficiaries With Medical Services |
757 |
Total Medical Submitted Charge Amount |
1683423.5 |
Total Medical Medicare Allowed Amount |
424310.7 |
Total Medical Medicare Payment Amount |
315996.16 |
Total Medical Medicare Standardized Payment Amount |
278583.85 |
Average Age Of Beneficiaries |
69 |
Number Of Beneficiaries Age Less65 |
225 |
Number Of Beneficiaries Age 65 to 74 |
266 |
Number Of Beneficiaries Age 75 to 84 |
196 |
Number Of Beneficiaries Age Greater 84 |
70 |
Number Of Female Beneficiaries |
532 |
Number Of Male Beneficiaries |
225 |
Number Of Non Hispanic White Beneficiaries |
638 |
Number Of Black or African American Beneficiaries |
103 |
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 |
645 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
112 |
Percent Of With Atrial Fibrillation |
12 |
Percent Of With Alzheimers Disease or Dementia |
9 |
Percent Of With Asthma |
7 |
Percent Of With Cancer |
9 |
Percent Of With Heart Failure |
18 |
Percent Of With Chronic Kidney Disease |
19 |
Percent Of With Chronic Obstructive Pulmonary Disease |
13 |
Percent Of With Depression |
31 |
Percent Of With Diabetes |
30 |
Percent Of With Hyperlipidemia |
51 |
Percent Of With Hypertension |
68 |
Percent Of With Ischemic Heart Disease |
35 |
Percent Of With Osteoporosis |
11 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
75 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
6 |
Average HCC Risk Score Of Beneficiaries |
1.4663 |