National Provider Identifier [NPI]: |
1558360727 |
Last Name Of The Provider |
SCHWINKE |
First Name Of The Provider |
JANICE |
Middle Initial Of The Provider |
M |
Credentials Of The Provider |
MD |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
416 CONNABLE AVE |
Street Address 2 Of The Provider |
|
City Of The Provider |
PETOSKEY |
Zip Code Of The Provider |
497702212 |
State Code Of The Provider |
MI |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Diagnostic Radiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
173 |
Number Of Services |
10692 |
Number Of Medicare Beneficiaries |
5341 |
Total Submitted Charge Amount |
530518.89 |
Total Medicare Allowed Amount |
193913.4 |
Total Medicare Payment Amount |
149163.51 |
Total Medicare Standardized Payment Amount |
152944.32 |
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 |
173 |
Number Of Medical Services |
10692 |
Number Of Medicare Beneficiaries With Medical Services |
5341 |
Total Medical Submitted Charge Amount |
530518.89 |
Total Medical Medicare Allowed Amount |
193913.4 |
Total Medical Medicare Payment Amount |
149163.51 |
Total Medical Medicare Standardized Payment Amount |
152944.32 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
797 |
Number Of Beneficiaries Age 65 to 74 |
2119 |
Number Of Beneficiaries Age 75 to 84 |
1612 |
Number Of Beneficiaries Age Greater 84 |
813 |
Number Of Female Beneficiaries |
3009 |
Number Of Male Beneficiaries |
2332 |
Number Of Non Hispanic White Beneficiaries |
4999 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
14 |
Number Of American Indian Alaska Native Beneficiaries |
256 |
Number Of Beneficiaries With Race Not Else where Classified |
53 |
Number Of Beneficiaries With Medicare Only Entitlement |
4319 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
1022 |
Percent Of With Atrial Fibrillation |
19 |
Percent Of With Alzheimers Disease or Dementia |
11 |
Percent Of With Asthma |
10 |
Percent Of With Cancer |
14 |
Percent Of With Heart Failure |
27 |
Percent Of With Chronic Kidney Disease |
29 |
Percent Of With Chronic Obstructive Pulmonary Disease |
26 |
Percent Of With Depression |
29 |
Percent Of With Diabetes |
33 |
Percent Of With Hyperlipidemia |
61 |
Percent Of With Hypertension |
72 |
Percent Of With Ischemic Heart Disease |
46 |
Percent Of With Osteoporosis |
10 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
48 |
Percent Of With Schizophrenia Other PsychoticDisorders |
4 |
Percent Of With Stroke |
6 |
Average HCC Risk Score Of Beneficiaries |
1.3508 |