National Provider Identifier [NPI]: |
1558461103 |
Last Name Of The Provider |
SCHTEN |
First Name Of The Provider |
ERIK |
Middle Initial Of The Provider |
P |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
400 PROFESSIONAL CENTER DR |
Street Address 2 Of The Provider |
SUITE 424 |
City Of The Provider |
NOVATO |
Zip Code Of The Provider |
949474367 |
State Code Of The Provider |
CA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Internal Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
52 |
Number Of Services |
4948 |
Number Of Medicare Beneficiaries |
524 |
Total Submitted Charge Amount |
300714 |
Total Medicare Allowed Amount |
263841.07 |
Total Medicare Payment Amount |
193506.25 |
Total Medicare Standardized Payment Amount |
165245.43 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
4 |
Number Of Drug Services |
46 |
Number Of Medicare Beneficiaries With Drug Services |
33 |
Total Drug Submitted ChargeAmount |
6639 |
Total Drug Medicare AllowedAmount |
6196.74 |
Total Drug Medicare PaymentAmount |
4860.59 |
Total Drug Medicare Standardized Payment Amount |
4860.59 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
48 |
Number Of Medical Services |
4902 |
Number Of Medicare Beneficiaries With Medical Services |
524 |
Total Medical Submitted Charge Amount |
294075 |
Total Medical Medicare Allowed Amount |
257644.33 |
Total Medical Medicare Payment Amount |
188645.66 |
Total Medical Medicare Standardized Payment Amount |
160384.84 |
Average Age Of Beneficiaries |
75 |
Number Of Beneficiaries Age Less65 |
32 |
Number Of Beneficiaries Age 65 to 74 |
254 |
Number Of Beneficiaries Age 75 to 84 |
165 |
Number Of Beneficiaries Age Greater 84 |
73 |
Number Of Female Beneficiaries |
249 |
Number Of Male Beneficiaries |
275 |
Number Of Non Hispanic White Beneficiaries |
501 |
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 |
469 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
55 |
Percent Of With Atrial Fibrillation |
13 |
Percent Of With Alzheimers Disease or Dementia |
8 |
Percent Of With Asthma |
6 |
Percent Of With Cancer |
12 |
Percent Of With Heart Failure |
8 |
Percent Of With Chronic Kidney Disease |
11 |
Percent Of With Chronic Obstructive Pulmonary Disease |
7 |
Percent Of With Depression |
15 |
Percent Of With Diabetes |
19 |
Percent Of With Hyperlipidemia |
44 |
Percent Of With Hypertension |
45 |
Percent Of With Ischemic Heart Disease |
26 |
Percent Of With Osteoporosis |
5 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
34 |
Percent Of With Schizophrenia Other PsychoticDisorders |
2 |
Percent Of With Stroke |
7 |
Average HCC Risk Score Of Beneficiaries |
0.893 |