National Provider Identifier [NPI]: |
1124184411 |
Last Name Of The Provider |
SCHNEIDER |
First Name Of The Provider |
ALISON |
Middle Initial Of The Provider |
E |
Credentials Of The Provider |
MD |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
75 CLAREMONT ST |
Street Address 2 Of The Provider |
SUITE H |
City Of The Provider |
KALISPELL |
Zip Code Of The Provider |
599013585 |
State Code Of The Provider |
MT |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Endocrinology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
27 |
Number Of Services |
1650 |
Number Of Medicare Beneficiaries |
366 |
Total Submitted Charge Amount |
138712 |
Total Medicare Allowed Amount |
89558.13 |
Total Medicare Payment Amount |
61672.71 |
Total Medicare Standardized Payment Amount |
67548.66 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
4 |
Number Of Drug Services |
266 |
Number Of Medicare Beneficiaries With Drug Services |
29 |
Total Drug Submitted ChargeAmount |
6088 |
Total Drug Medicare AllowedAmount |
4225.62 |
Total Drug Medicare PaymentAmount |
3372.91 |
Total Drug Medicare Standardized Payment Amount |
3372.91 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
23 |
Number Of Medical Services |
1384 |
Number Of Medicare Beneficiaries With Medical Services |
366 |
Total Medical Submitted Charge Amount |
132624 |
Total Medical Medicare Allowed Amount |
85332.51 |
Total Medical Medicare Payment Amount |
58299.8 |
Total Medical Medicare Standardized Payment Amount |
64175.75 |
Average Age Of Beneficiaries |
71 |
Number Of Beneficiaries Age Less65 |
47 |
Number Of Beneficiaries Age 65 to 74 |
197 |
Number Of Beneficiaries Age 75 to 84 |
96 |
Number Of Beneficiaries Age Greater 84 |
26 |
Number Of Female Beneficiaries |
239 |
Number Of Male Beneficiaries |
127 |
Number Of Non Hispanic White Beneficiaries |
324 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
20 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
342 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
24 |
Percent Of With Atrial Fibrillation |
9 |
Percent Of With Alzheimers Disease or Dementia |
6 |
Percent Of With Asthma |
5 |
Percent Of With Cancer |
7 |
Percent Of With Heart Failure |
12 |
Percent Of With Chronic Kidney Disease |
22 |
Percent Of With Chronic Obstructive Pulmonary Disease |
4 |
Percent Of With Depression |
21 |
Percent Of With Diabetes |
52 |
Percent Of With Hyperlipidemia |
53 |
Percent Of With Hypertension |
62 |
Percent Of With Ischemic Heart Disease |
28 |
Percent Of With Osteoporosis |
14 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
36 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
|
Average HCC Risk Score Of Beneficiaries |
1.1328 |