National Provider Identifier [NPI]: |
1194845131 |
Last Name Of The Provider |
SCHWAGER |
First Name Of The Provider |
VERNE |
Middle Initial Of The Provider |
A |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
2025 S ARLINGTON HEIGHTS RD |
Street Address 2 Of The Provider |
SUITE 106 |
City Of The Provider |
ARLINGTON HEIGHTS |
Zip Code Of The Provider |
600054152 |
State Code Of The Provider |
IL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Internal Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
34 |
Number Of Services |
829 |
Number Of Medicare Beneficiaries |
133 |
Total Submitted Charge Amount |
96608.99 |
Total Medicare Allowed Amount |
75783.01 |
Total Medicare Payment Amount |
54582.03 |
Total Medicare Standardized Payment Amount |
54848.21 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
8 |
Number Of Drug Services |
73 |
Number Of Medicare Beneficiaries With Drug Services |
12 |
Total Drug Submitted ChargeAmount |
4318 |
Total Drug Medicare AllowedAmount |
360.58 |
Total Drug Medicare PaymentAmount |
299.17 |
Total Drug Medicare Standardized Payment Amount |
299.17 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
26 |
Number Of Medical Services |
756 |
Number Of Medicare Beneficiaries With Medical Services |
133 |
Total Medical Submitted Charge Amount |
92290.99 |
Total Medical Medicare Allowed Amount |
75422.43 |
Total Medical Medicare Payment Amount |
54282.86 |
Total Medical Medicare Standardized Payment Amount |
54549.04 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
17 |
Number Of Beneficiaries Age 65 to 74 |
43 |
Number Of Beneficiaries Age 75 to 84 |
50 |
Number Of Beneficiaries Age Greater 84 |
23 |
Number Of Female Beneficiaries |
66 |
Number Of Male Beneficiaries |
67 |
Number Of Non Hispanic White Beneficiaries |
120 |
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 |
115 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
18 |
Percent Of With Atrial Fibrillation |
10 |
Percent Of With Alzheimers Disease or Dementia |
11 |
Percent Of With Asthma |
|
Percent Of With Cancer |
11 |
Percent Of With Heart Failure |
14 |
Percent Of With Chronic Kidney Disease |
26 |
Percent Of With Chronic Obstructive Pulmonary Disease |
|
Percent Of With Depression |
10 |
Percent Of With Diabetes |
31 |
Percent Of With Hyperlipidemia |
59 |
Percent Of With Hypertension |
52 |
Percent Of With Ischemic Heart Disease |
39 |
Percent Of With Osteoporosis |
|
Percent Of With Rheumatoid Arthritis Osteoarthritis |
52 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
|
Average HCC Risk Score Of Beneficiaries |
1.1139 |