National Provider Identifier [NPI]: |
1851467401 |
Last Name Of The Provider |
SCHWAT |
First Name Of The Provider |
HOWARD |
Middle Initial Of The Provider |
E |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
2480 MISSION STREET |
Street Address 2 Of The Provider |
SUITE 109 |
City Of The Provider |
SAN FRANCISCO |
Zip Code Of The Provider |
941102479 |
State Code Of The Provider |
CA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Dermatology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
35 |
Number Of Services |
6861 |
Number Of Medicare Beneficiaries |
414 |
Total Submitted Charge Amount |
359593.5 |
Total Medicare Allowed Amount |
191299.08 |
Total Medicare Payment Amount |
149052.27 |
Total Medicare Standardized Payment Amount |
133036.1 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
114 |
Number Of Medicare Beneficiaries With Drug Services |
28 |
Total Drug Submitted ChargeAmount |
654 |
Total Drug Medicare AllowedAmount |
324.96 |
Total Drug Medicare PaymentAmount |
285.15 |
Total Drug Medicare Standardized Payment Amount |
285.15 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
33 |
Number Of Medical Services |
6747 |
Number Of Medicare Beneficiaries With Medical Services |
414 |
Total Medical Submitted Charge Amount |
358939.5 |
Total Medical Medicare Allowed Amount |
190974.12 |
Total Medical Medicare Payment Amount |
148767.12 |
Total Medical Medicare Standardized Payment Amount |
132750.95 |
Average Age Of Beneficiaries |
72 |
Number Of Beneficiaries Age Less65 |
88 |
Number Of Beneficiaries Age 65 to 74 |
140 |
Number Of Beneficiaries Age 75 to 84 |
126 |
Number Of Beneficiaries Age Greater 84 |
60 |
Number Of Female Beneficiaries |
264 |
Number Of Male Beneficiaries |
150 |
Number Of Non Hispanic White Beneficiaries |
70 |
Number Of Black or African American Beneficiaries |
19 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
302 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
70 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
344 |
Percent Of With Atrial Fibrillation |
5 |
Percent Of With Alzheimers Disease or Dementia |
8 |
Percent Of With Asthma |
11 |
Percent Of With Cancer |
8 |
Percent Of With Heart Failure |
14 |
Percent Of With Chronic Kidney Disease |
18 |
Percent Of With Chronic Obstructive Pulmonary Disease |
8 |
Percent Of With Depression |
24 |
Percent Of With Diabetes |
40 |
Percent Of With Hyperlipidemia |
45 |
Percent Of With Hypertension |
64 |
Percent Of With Ischemic Heart Disease |
21 |
Percent Of With Osteoporosis |
9 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
41 |
Percent Of With Schizophrenia Other PsychoticDisorders |
6 |
Percent Of With Stroke |
3 |
Average HCC Risk Score Of Beneficiaries |
1.128 |