National Provider Identifier [NPI]: |
1326025719 |
Last Name Of The Provider |
SCHUL |
First Name Of The Provider |
JEFFERY |
Middle Initial Of The Provider |
L |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
7605 FOREST AVE |
Street Address 2 Of The Provider |
SUITE 103 |
City Of The Provider |
RICHMOND |
Zip Code Of The Provider |
232294938 |
State Code Of The Provider |
VA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Allergy/Immunology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
29 |
Number Of Services |
10567.5 |
Number Of Medicare Beneficiaries |
565 |
Total Submitted Charge Amount |
256658.9 |
Total Medicare Allowed Amount |
157603.98 |
Total Medicare Payment Amount |
113153.76 |
Total Medicare Standardized Payment Amount |
114598.94 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
5 |
Number Of Drug Services |
135 |
Number Of Medicare Beneficiaries With Drug Services |
36 |
Total Drug Submitted ChargeAmount |
790 |
Total Drug Medicare AllowedAmount |
562.36 |
Total Drug Medicare PaymentAmount |
541.44 |
Total Drug Medicare Standardized Payment Amount |
541.44 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
24 |
Number Of Medical Services |
10432.5 |
Number Of Medicare Beneficiaries With Medical Services |
565 |
Total Medical Submitted Charge Amount |
255868.9 |
Total Medical Medicare Allowed Amount |
157041.62 |
Total Medical Medicare Payment Amount |
112612.32 |
Total Medical Medicare Standardized Payment Amount |
114057.5 |
Average Age Of Beneficiaries |
71 |
Number Of Beneficiaries Age Less65 |
47 |
Number Of Beneficiaries Age 65 to 74 |
344 |
Number Of Beneficiaries Age 75 to 84 |
146 |
Number Of Beneficiaries Age Greater 84 |
28 |
Number Of Female Beneficiaries |
397 |
Number Of Male Beneficiaries |
168 |
Number Of Non Hispanic White Beneficiaries |
455 |
Number Of Black or African American Beneficiaries |
75 |
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 |
15 |
Number Of Beneficiaries With Medicare Only Entitlement |
528 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
37 |
Percent Of With Atrial Fibrillation |
6 |
Percent Of With Alzheimers Disease or Dementia |
5 |
Percent Of With Asthma |
38 |
Percent Of With Cancer |
10 |
Percent Of With Heart Failure |
7 |
Percent Of With Chronic Kidney Disease |
10 |
Percent Of With Chronic Obstructive Pulmonary Disease |
10 |
Percent Of With Depression |
20 |
Percent Of With Diabetes |
22 |
Percent Of With Hyperlipidemia |
52 |
Percent Of With Hypertension |
59 |
Percent Of With Ischemic Heart Disease |
21 |
Percent Of With Osteoporosis |
8 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
41 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
|
Average HCC Risk Score Of Beneficiaries |
0.7594 |