National Provider Identifier [NPI]: |
1871584011 |
Last Name Of The Provider |
SCHELL |
First Name Of The Provider |
GERALD |
Middle Initial Of The Provider |
R |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
4677 TOWNE CENTRE RD |
Street Address 2 Of The Provider |
SUITE 301 |
City Of The Provider |
SAGINAW |
Zip Code Of The Provider |
486042846 |
State Code Of The Provider |
MI |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Neurosurgery |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
94 |
Number Of Services |
3726 |
Number Of Medicare Beneficiaries |
539 |
Total Submitted Charge Amount |
3322502.5 |
Total Medicare Allowed Amount |
971038.79 |
Total Medicare Payment Amount |
754575.73 |
Total Medicare Standardized Payment Amount |
749710.84 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
3 |
Number Of Drug Services |
958 |
Number Of Medicare Beneficiaries With Drug Services |
107 |
Total Drug Submitted ChargeAmount |
4792.5 |
Total Drug Medicare AllowedAmount |
2374.82 |
Total Drug Medicare PaymentAmount |
1823.19 |
Total Drug Medicare Standardized Payment Amount |
1823.19 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
91 |
Number Of Medical Services |
2768 |
Number Of Medicare Beneficiaries With Medical Services |
539 |
Total Medical Submitted Charge Amount |
3317710 |
Total Medical Medicare Allowed Amount |
968663.97 |
Total Medical Medicare Payment Amount |
752752.54 |
Total Medical Medicare Standardized Payment Amount |
747887.65 |
Average Age Of Beneficiaries |
64 |
Number Of Beneficiaries Age Less65 |
235 |
Number Of Beneficiaries Age 65 to 74 |
181 |
Number Of Beneficiaries Age 75 to 84 |
103 |
Number Of Beneficiaries Age Greater 84 |
20 |
Number Of Female Beneficiaries |
302 |
Number Of Male Beneficiaries |
237 |
Number Of Non Hispanic White Beneficiaries |
492 |
Number Of Black or African American Beneficiaries |
26 |
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 |
345 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
194 |
Percent Of With Atrial Fibrillation |
6 |
Percent Of With Alzheimers Disease or Dementia |
8 |
Percent Of With Asthma |
13 |
Percent Of With Cancer |
7 |
Percent Of With Heart Failure |
21 |
Percent Of With Chronic Kidney Disease |
17 |
Percent Of With Chronic Obstructive Pulmonary Disease |
26 |
Percent Of With Depression |
43 |
Percent Of With Diabetes |
33 |
Percent Of With Hyperlipidemia |
54 |
Percent Of With Hypertension |
71 |
Percent Of With Ischemic Heart Disease |
43 |
Percent Of With Osteoporosis |
8 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
75 |
Percent Of With Schizophrenia Other PsychoticDisorders |
5 |
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
1.2925 |