National Provider Identifier [NPI]: |
1013994185 |
Last Name Of The Provider |
SCHUBERT |
First Name Of The Provider |
PAUL |
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 |
541 MAIN ST |
Street Address 2 Of The Provider |
SUITE 400 |
City Of The Provider |
SOUTH WEYMOUTH |
Zip Code Of The Provider |
021901868 |
State Code Of The Provider |
MA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Cardiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
53 |
Number Of Services |
5996 |
Number Of Medicare Beneficiaries |
2209 |
Total Submitted Charge Amount |
822783 |
Total Medicare Allowed Amount |
364424.08 |
Total Medicare Payment Amount |
269776.32 |
Total Medicare Standardized Payment Amount |
251551 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
10 |
Number Of Drug Services |
191 |
Number Of Medicare Beneficiaries With Drug Services |
55 |
Total Drug Submitted ChargeAmount |
13410 |
Total Drug Medicare AllowedAmount |
8995.65 |
Total Drug Medicare PaymentAmount |
7106.83 |
Total Drug Medicare Standardized Payment Amount |
7106.83 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
43 |
Number Of Medical Services |
5805 |
Number Of Medicare Beneficiaries With Medical Services |
2209 |
Total Medical Submitted Charge Amount |
809373 |
Total Medical Medicare Allowed Amount |
355428.43 |
Total Medical Medicare Payment Amount |
262669.49 |
Total Medical Medicare Standardized Payment Amount |
244444.17 |
Average Age Of Beneficiaries |
77 |
Number Of Beneficiaries Age Less65 |
203 |
Number Of Beneficiaries Age 65 to 74 |
690 |
Number Of Beneficiaries Age 75 to 84 |
764 |
Number Of Beneficiaries Age Greater 84 |
552 |
Number Of Female Beneficiaries |
1254 |
Number Of Male Beneficiaries |
955 |
Number Of Non Hispanic White Beneficiaries |
2148 |
Number Of Black or African American Beneficiaries |
19 |
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 |
21 |
Number Of Beneficiaries With Medicare Only Entitlement |
1799 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
410 |
Percent Of With Atrial Fibrillation |
31 |
Percent Of With Alzheimers Disease or Dementia |
19 |
Percent Of With Asthma |
10 |
Percent Of With Cancer |
16 |
Percent Of With Heart Failure |
40 |
Percent Of With Chronic Kidney Disease |
38 |
Percent Of With Chronic Obstructive Pulmonary Disease |
27 |
Percent Of With Depression |
31 |
Percent Of With Diabetes |
31 |
Percent Of With Hyperlipidemia |
69 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
57 |
Percent Of With Osteoporosis |
10 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
39 |
Percent Of With Schizophrenia Other PsychoticDisorders |
9 |
Percent Of With Stroke |
11 |
Average HCC Risk Score Of Beneficiaries |
1.6965 |