National Provider Identifier [NPI]: |
1114954310 |
Last Name Of The Provider |
SCHNELL |
First Name Of The Provider |
FREDERICK |
Middle Initial Of The Provider |
M |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
800 1ST ST |
Street Address 2 Of The Provider |
SUITE 410 |
City Of The Provider |
MACON |
Zip Code Of The Provider |
312018300 |
State Code Of The Provider |
GA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Hematology/Oncology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
146 |
Number Of Services |
83448 |
Number Of Medicare Beneficiaries |
1064 |
Total Submitted Charge Amount |
4924983 |
Total Medicare Allowed Amount |
1769701.27 |
Total Medicare Payment Amount |
1371574.86 |
Total Medicare Standardized Payment Amount |
1385470.97 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
80 |
Number Of Drug Services |
75183 |
Number Of Medicare Beneficiaries With Drug Services |
369 |
Total Drug Submitted ChargeAmount |
3912378 |
Total Drug Medicare AllowedAmount |
1414562.09 |
Total Drug Medicare PaymentAmount |
1096571.52 |
Total Drug Medicare Standardized Payment Amount |
1096571.52 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
66 |
Number Of Medical Services |
8265 |
Number Of Medicare Beneficiaries With Medical Services |
1064 |
Total Medical Submitted Charge Amount |
1012605 |
Total Medical Medicare Allowed Amount |
355139.18 |
Total Medical Medicare Payment Amount |
275003.34 |
Total Medical Medicare Standardized Payment Amount |
288899.45 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
147 |
Number Of Beneficiaries Age 65 to 74 |
429 |
Number Of Beneficiaries Age 75 to 84 |
382 |
Number Of Beneficiaries Age Greater 84 |
106 |
Number Of Female Beneficiaries |
610 |
Number Of Male Beneficiaries |
454 |
Number Of Non Hispanic White Beneficiaries |
818 |
Number Of Black or African American Beneficiaries |
230 |
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 |
908 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
156 |
Percent Of With Atrial Fibrillation |
12 |
Percent Of With Alzheimers Disease or Dementia |
10 |
Percent Of With Asthma |
5 |
Percent Of With Cancer |
48 |
Percent Of With Heart Failure |
22 |
Percent Of With Chronic Kidney Disease |
37 |
Percent Of With Chronic Obstructive Pulmonary Disease |
23 |
Percent Of With Depression |
20 |
Percent Of With Diabetes |
36 |
Percent Of With Hyperlipidemia |
60 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
40 |
Percent Of With Osteoporosis |
11 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
38 |
Percent Of With Schizophrenia Other PsychoticDisorders |
4 |
Percent Of With Stroke |
6 |
Average HCC Risk Score Of Beneficiaries |
2.0205 |