National Provider Identifier [NPI]: |
1225047772 |
Last Name Of The Provider |
SCHECHTER |
First Name Of The Provider |
JADE |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
MD |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
3901 23RD ST |
Street Address 2 Of The Provider |
|
City Of The Provider |
SAN FRANCISCO |
Zip Code Of The Provider |
941143302 |
State Code Of The Provider |
CA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Family Practice |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
26 |
Number Of Services |
641 |
Number Of Medicare Beneficiaries |
290 |
Total Submitted Charge Amount |
153919.66 |
Total Medicare Allowed Amount |
53907.4 |
Total Medicare Payment Amount |
40033.47 |
Total Medicare Standardized Payment Amount |
35290.95 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
7 |
Number Of Drug Services |
113 |
Number Of Medicare Beneficiaries With Drug Services |
100 |
Total Drug Submitted ChargeAmount |
4888.99 |
Total Drug Medicare AllowedAmount |
2761.88 |
Total Drug Medicare PaymentAmount |
2706.46 |
Total Drug Medicare Standardized Payment Amount |
2706.46 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
19 |
Number Of Medical Services |
528 |
Number Of Medicare Beneficiaries With Medical Services |
287 |
Total Medical Submitted Charge Amount |
149030.67 |
Total Medical Medicare Allowed Amount |
51145.52 |
Total Medical Medicare Payment Amount |
37327.01 |
Total Medical Medicare Standardized Payment Amount |
32584.49 |
Average Age Of Beneficiaries |
71 |
Number Of Beneficiaries Age Less65 |
21 |
Number Of Beneficiaries Age 65 to 74 |
196 |
Number Of Beneficiaries Age 75 to 84 |
52 |
Number Of Beneficiaries Age Greater 84 |
21 |
Number Of Female Beneficiaries |
194 |
Number Of Male Beneficiaries |
96 |
Number Of Non Hispanic White Beneficiaries |
264 |
Number Of Black or African American Beneficiaries |
|
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 |
11 |
Number Of Beneficiaries With Medicare Only Entitlement |
273 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
17 |
Percent Of With Atrial Fibrillation |
6 |
Percent Of With Alzheimers Disease or Dementia |
6 |
Percent Of With Asthma |
5 |
Percent Of With Cancer |
5 |
Percent Of With Heart Failure |
4 |
Percent Of With Chronic Kidney Disease |
9 |
Percent Of With Chronic Obstructive Pulmonary Disease |
4 |
Percent Of With Depression |
12 |
Percent Of With Diabetes |
8 |
Percent Of With Hyperlipidemia |
29 |
Percent Of With Hypertension |
30 |
Percent Of With Ischemic Heart Disease |
16 |
Percent Of With Osteoporosis |
9 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
27 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
|
Average HCC Risk Score Of Beneficiaries |
0.7602 |