National Provider Identifier [NPI]: |
1134391949 |
Last Name Of The Provider |
SCHRAMEK |
First Name Of The Provider |
LOIS |
Middle Initial Of The Provider |
J |
Credentials Of The Provider |
CRNP |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
213 NEWPORT DR |
Street Address 2 Of The Provider |
|
City Of The Provider |
SEVERNA PARK |
Zip Code Of The Provider |
211461349 |
State Code Of The Provider |
MD |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Nurse Practitioner |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
20 |
Number Of Services |
1263 |
Number Of Medicare Beneficiaries |
235 |
Total Submitted Charge Amount |
146710 |
Total Medicare Allowed Amount |
121567.4 |
Total Medicare Payment Amount |
91445.98 |
Total Medicare Standardized Payment Amount |
101792.82 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
3 |
Number Of Drug Services |
99 |
Number Of Medicare Beneficiaries With Drug Services |
96 |
Total Drug Submitted ChargeAmount |
2980 |
Total Drug Medicare AllowedAmount |
1545.34 |
Total Drug Medicare PaymentAmount |
1514.24 |
Total Drug Medicare Standardized Payment Amount |
1514.24 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
17 |
Number Of Medical Services |
1164 |
Number Of Medicare Beneficiaries With Medical Services |
235 |
Total Medical Submitted Charge Amount |
143730 |
Total Medical Medicare Allowed Amount |
120022.06 |
Total Medical Medicare Payment Amount |
89931.74 |
Total Medical Medicare Standardized Payment Amount |
100278.58 |
Average Age Of Beneficiaries |
86 |
Number Of Beneficiaries Age Less65 |
|
Number Of Beneficiaries Age 65 to 74 |
|
Number Of Beneficiaries Age 75 to 84 |
72 |
Number Of Beneficiaries Age Greater 84 |
141 |
Number Of Female Beneficiaries |
180 |
Number Of Male Beneficiaries |
55 |
Number Of Non Hispanic White Beneficiaries |
213 |
Number Of Black or African American Beneficiaries |
|
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 |
214 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
21 |
Percent Of With Atrial Fibrillation |
20 |
Percent Of With Alzheimers Disease or Dementia |
75 |
Percent Of With Asthma |
13 |
Percent Of With Cancer |
7 |
Percent Of With Heart Failure |
35 |
Percent Of With Chronic Kidney Disease |
32 |
Percent Of With Chronic Obstructive Pulmonary Disease |
22 |
Percent Of With Depression |
35 |
Percent Of With Diabetes |
31 |
Percent Of With Hyperlipidemia |
35 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
37 |
Percent Of With Osteoporosis |
16 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
51 |
Percent Of With Schizophrenia Other PsychoticDisorders |
12 |
Percent Of With Stroke |
26 |
Average HCC Risk Score Of Beneficiaries |
1.841 |