National Provider Identifier [NPI]: |
1851428866 |
Last Name Of The Provider |
SCHROEDER |
First Name Of The Provider |
JEROME |
Middle Initial Of The Provider |
S |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
938 BANNOCK ST |
Street Address 2 Of The Provider |
STE 300 |
City Of The Provider |
DENVER |
Zip Code Of The Provider |
802044028 |
State Code Of The Provider |
CO |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Diagnostic Radiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
24 |
Number Of Services |
1210 |
Number Of Medicare Beneficiaries |
517 |
Total Submitted Charge Amount |
76514 |
Total Medicare Allowed Amount |
28916.44 |
Total Medicare Payment Amount |
25550.18 |
Total Medicare Standardized Payment Amount |
25523.21 |
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 |
24 |
Number Of Medical Services |
1210 |
Number Of Medicare Beneficiaries With Medical Services |
517 |
Total Medical Submitted Charge Amount |
76514 |
Total Medical Medicare Allowed Amount |
28916.44 |
Total Medical Medicare Payment Amount |
25550.18 |
Total Medical Medicare Standardized Payment Amount |
25523.21 |
Average Age Of Beneficiaries |
69 |
Number Of Beneficiaries Age Less65 |
94 |
Number Of Beneficiaries Age 65 to 74 |
289 |
Number Of Beneficiaries Age 75 to 84 |
112 |
Number Of Beneficiaries Age Greater 84 |
22 |
Number Of Female Beneficiaries |
|
Number Of Male Beneficiaries |
|
Number Of Non Hispanic White Beneficiaries |
356 |
Number Of Black or African American Beneficiaries |
66 |
Number Of AsianPacific Islander Beneficiaries |
14 |
Number Of Hispanic Beneficiaries |
67 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
399 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
118 |
Percent Of With Atrial Fibrillation |
5 |
Percent Of With Alzheimers Disease or Dementia |
|
Percent Of With Asthma |
7 |
Percent Of With Cancer |
25 |
Percent Of With Heart Failure |
8 |
Percent Of With Chronic Kidney Disease |
16 |
Percent Of With Chronic Obstructive Pulmonary Disease |
7 |
Percent Of With Depression |
19 |
Percent Of With Diabetes |
20 |
Percent Of With Hyperlipidemia |
31 |
Percent Of With Hypertension |
40 |
Percent Of With Ischemic Heart Disease |
11 |
Percent Of With Osteoporosis |
14 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
27 |
Percent Of With Schizophrenia Other PsychoticDisorders |
2 |
Percent Of With Stroke |
|
Average HCC Risk Score Of Beneficiaries |
0.9308 |