National Provider Identifier [NPI]: |
1053392324 |
Last Name Of The Provider |
SCHOEN |
First Name Of The Provider |
JAMES |
Middle Initial Of The Provider |
D |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
9930 WATSON RD |
Street Address 2 Of The Provider |
|
City Of The Provider |
SAINT LOUIS |
Zip Code Of The Provider |
631261827 |
State Code Of The Provider |
MO |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Diagnostic Radiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
212 |
Number Of Services |
7861 |
Number Of Medicare Beneficiaries |
1717 |
Total Submitted Charge Amount |
572711.48 |
Total Medicare Allowed Amount |
210166.84 |
Total Medicare Payment Amount |
159717.84 |
Total Medicare Standardized Payment Amount |
164612.21 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
8 |
Number Of Drug Services |
4332 |
Number Of Medicare Beneficiaries With Drug Services |
208 |
Total Drug Submitted ChargeAmount |
11378 |
Total Drug Medicare AllowedAmount |
2941.67 |
Total Drug Medicare PaymentAmount |
2268.29 |
Total Drug Medicare Standardized Payment Amount |
2268.29 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
204 |
Number Of Medical Services |
3529 |
Number Of Medicare Beneficiaries With Medical Services |
1714 |
Total Medical Submitted Charge Amount |
561333.48 |
Total Medical Medicare Allowed Amount |
207225.17 |
Total Medical Medicare Payment Amount |
157449.55 |
Total Medical Medicare Standardized Payment Amount |
162343.92 |
Average Age Of Beneficiaries |
72 |
Number Of Beneficiaries Age Less65 |
356 |
Number Of Beneficiaries Age 65 to 74 |
657 |
Number Of Beneficiaries Age 75 to 84 |
471 |
Number Of Beneficiaries Age Greater 84 |
233 |
Number Of Female Beneficiaries |
1070 |
Number Of Male Beneficiaries |
647 |
Number Of Non Hispanic White Beneficiaries |
1548 |
Number Of Black or African American Beneficiaries |
130 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
15 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
1320 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
397 |
Percent Of With Atrial Fibrillation |
15 |
Percent Of With Alzheimers Disease or Dementia |
17 |
Percent Of With Asthma |
11 |
Percent Of With Cancer |
11 |
Percent Of With Heart Failure |
33 |
Percent Of With Chronic Kidney Disease |
37 |
Percent Of With Chronic Obstructive Pulmonary Disease |
28 |
Percent Of With Depression |
41 |
Percent Of With Diabetes |
39 |
Percent Of With Hyperlipidemia |
62 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
48 |
Percent Of With Osteoporosis |
13 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
59 |
Percent Of With Schizophrenia Other PsychoticDisorders |
7 |
Percent Of With Stroke |
9 |
Average HCC Risk Score Of Beneficiaries |
1.5892 |