National Provider Identifier [NPI]: |
1962400291 |
Last Name Of The Provider |
SCHUETZ |
First Name Of The Provider |
ALEXANDER |
Middle Initial Of The Provider |
E |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
201 BJC SAINT PETERS DR |
Street Address 2 Of The Provider |
SUITE 100 |
City Of The Provider |
SAINT PETERS |
Zip Code Of The Provider |
633763091 |
State Code Of The Provider |
MO |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Family Practice |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
42 |
Number Of Services |
2605 |
Number Of Medicare Beneficiaries |
717 |
Total Submitted Charge Amount |
211576.08 |
Total Medicare Allowed Amount |
207402.76 |
Total Medicare Payment Amount |
151161.66 |
Total Medicare Standardized Payment Amount |
157693.95 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
6 |
Number Of Drug Services |
123 |
Number Of Medicare Beneficiaries With Drug Services |
54 |
Total Drug Submitted ChargeAmount |
6897.27 |
Total Drug Medicare AllowedAmount |
6667.02 |
Total Drug Medicare PaymentAmount |
5895.46 |
Total Drug Medicare Standardized Payment Amount |
5895.46 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
36 |
Number Of Medical Services |
2482 |
Number Of Medicare Beneficiaries With Medical Services |
716 |
Total Medical Submitted Charge Amount |
204678.81 |
Total Medical Medicare Allowed Amount |
200735.74 |
Total Medical Medicare Payment Amount |
145266.2 |
Total Medical Medicare Standardized Payment Amount |
151798.49 |
Average Age Of Beneficiaries |
75 |
Number Of Beneficiaries Age Less65 |
62 |
Number Of Beneficiaries Age 65 to 74 |
303 |
Number Of Beneficiaries Age 75 to 84 |
222 |
Number Of Beneficiaries Age Greater 84 |
130 |
Number Of Female Beneficiaries |
441 |
Number Of Male Beneficiaries |
276 |
Number Of Non Hispanic White Beneficiaries |
696 |
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 |
680 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
37 |
Percent Of With Atrial Fibrillation |
14 |
Percent Of With Alzheimers Disease or Dementia |
16 |
Percent Of With Asthma |
5 |
Percent Of With Cancer |
11 |
Percent Of With Heart Failure |
18 |
Percent Of With Chronic Kidney Disease |
22 |
Percent Of With Chronic Obstructive Pulmonary Disease |
19 |
Percent Of With Depression |
17 |
Percent Of With Diabetes |
26 |
Percent Of With Hyperlipidemia |
50 |
Percent Of With Hypertension |
67 |
Percent Of With Ischemic Heart Disease |
34 |
Percent Of With Osteoporosis |
9 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
41 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
7 |
Average HCC Risk Score Of Beneficiaries |
1.2209 |