National Provider Identifier [NPI]: |
1023058229 |
Last Name Of The Provider |
SCHMITT |
First Name Of The Provider |
JAMES |
Middle Initial Of The Provider |
M |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
12728 19TH AVE SE |
Street Address 2 Of The Provider |
SUITE 200 |
City Of The Provider |
EVERETT |
Zip Code Of The Provider |
982086526 |
State Code Of The Provider |
WA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Cardiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
59 |
Number Of Services |
1539 |
Number Of Medicare Beneficiaries |
838 |
Total Submitted Charge Amount |
275224 |
Total Medicare Allowed Amount |
118185.53 |
Total Medicare Payment Amount |
84195.81 |
Total Medicare Standardized Payment Amount |
86685.04 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
0 |
Number Of Drug Services |
0 |
Number Of Medicare Beneficiaries With Drug Services |
0 |
Total Drug Submitted ChargeAmount |
0 |
Total Drug Medicare AllowedAmount |
0 |
Total Drug Medicare PaymentAmount |
0 |
Total Drug Medicare Standardized Payment Amount |
0 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
59 |
Number Of Medical Services |
1539 |
Number Of Medicare Beneficiaries With Medical Services |
838 |
Total Medical Submitted Charge Amount |
275224 |
Total Medical Medicare Allowed Amount |
118185.53 |
Total Medical Medicare Payment Amount |
84195.81 |
Total Medical Medicare Standardized Payment Amount |
86685.04 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
112 |
Number Of Beneficiaries Age 65 to 74 |
314 |
Number Of Beneficiaries Age 75 to 84 |
276 |
Number Of Beneficiaries Age Greater 84 |
136 |
Number Of Female Beneficiaries |
370 |
Number Of Male Beneficiaries |
468 |
Number Of Non Hispanic White Beneficiaries |
778 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
18 |
Number Of Hispanic Beneficiaries |
11 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
12 |
Number Of Beneficiaries With Medicare Only Entitlement |
681 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
157 |
Percent Of With Atrial Fibrillation |
33 |
Percent Of With Alzheimers Disease or Dementia |
8 |
Percent Of With Asthma |
9 |
Percent Of With Cancer |
10 |
Percent Of With Heart Failure |
48 |
Percent Of With Chronic Kidney Disease |
43 |
Percent Of With Chronic Obstructive Pulmonary Disease |
23 |
Percent Of With Depression |
23 |
Percent Of With Diabetes |
40 |
Percent Of With Hyperlipidemia |
69 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
60 |
Percent Of With Osteoporosis |
4 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
32 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
11 |
Average HCC Risk Score Of Beneficiaries |
1.7381 |