National Provider Identifier [NPI]: |
1083652754 |
Last Name Of The Provider |
SCHMITZ |
First Name Of The Provider |
CHRISTINE |
Middle Initial Of The Provider |
M |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1440 DUCKWOOD DR |
Street Address 2 Of The Provider |
|
City Of The Provider |
EAGAN |
Zip Code Of The Provider |
551221451 |
State Code Of The Provider |
MN |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Internal Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
55 |
Number Of Services |
787 |
Number Of Medicare Beneficiaries |
77 |
Total Submitted Charge Amount |
48771 |
Total Medicare Allowed Amount |
21885.07 |
Total Medicare Payment Amount |
15715.17 |
Total Medicare Standardized Payment Amount |
16543.16 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
5 |
Number Of Drug Services |
323 |
Number Of Medicare Beneficiaries With Drug Services |
21 |
Total Drug Submitted ChargeAmount |
1022 |
Total Drug Medicare AllowedAmount |
905.35 |
Total Drug Medicare PaymentAmount |
701.88 |
Total Drug Medicare Standardized Payment Amount |
701.88 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
50 |
Number Of Medical Services |
464 |
Number Of Medicare Beneficiaries With Medical Services |
77 |
Total Medical Submitted Charge Amount |
47749 |
Total Medical Medicare Allowed Amount |
20979.72 |
Total Medical Medicare Payment Amount |
15013.29 |
Total Medical Medicare Standardized Payment Amount |
15841.28 |
Average Age Of Beneficiaries |
68 |
Number Of Beneficiaries Age Less65 |
20 |
Number Of Beneficiaries Age 65 to 74 |
30 |
Number Of Beneficiaries Age 75 to 84 |
16 |
Number Of Beneficiaries Age Greater 84 |
11 |
Number Of Female Beneficiaries |
|
Number Of Male Beneficiaries |
|
Number Of Non Hispanic White Beneficiaries |
63 |
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 |
55 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
22 |
Percent Of With Atrial Fibrillation |
|
Percent Of With Alzheimers Disease or Dementia |
14 |
Percent Of With Asthma |
|
Percent Of With Cancer |
|
Percent Of With Heart Failure |
16 |
Percent Of With Chronic Kidney Disease |
22 |
Percent Of With Chronic Obstructive Pulmonary Disease |
|
Percent Of With Depression |
43 |
Percent Of With Diabetes |
17 |
Percent Of With Hyperlipidemia |
39 |
Percent Of With Hypertension |
49 |
Percent Of With Ischemic Heart Disease |
26 |
Percent Of With Osteoporosis |
16 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
25 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
|
Average HCC Risk Score Of Beneficiaries |
1.2708 |