National Provider Identifier [NPI]: |
1306807516 |
Last Name Of The Provider |
SCHWARTZER |
First Name Of The Provider |
JOSEPH |
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 |
NORFOLK COMMUNITY SERVICES BOARD |
Street Address 2 Of The Provider |
3755 E. VIRGINIA BEACH BLVD. |
City Of The Provider |
NORFOLK |
Zip Code Of The Provider |
235023238 |
State Code Of The Provider |
VA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Psychiatry |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
6 |
Number Of Services |
438 |
Number Of Medicare Beneficiaries |
134 |
Total Submitted Charge Amount |
36048.39 |
Total Medicare Allowed Amount |
19926.22 |
Total Medicare Payment Amount |
12392.43 |
Total Medicare Standardized Payment Amount |
12636.4 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
3 |
Number Of Drug Services |
39 |
Number Of Medicare Beneficiaries With Drug Services |
20 |
Total Drug Submitted ChargeAmount |
662.84 |
Total Drug Medicare AllowedAmount |
662.84 |
Total Drug Medicare PaymentAmount |
177.79 |
Total Drug Medicare Standardized Payment Amount |
177.79 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
3 |
Number Of Medical Services |
399 |
Number Of Medicare Beneficiaries With Medical Services |
132 |
Total Medical Submitted Charge Amount |
35385.55 |
Total Medical Medicare Allowed Amount |
19263.38 |
Total Medical Medicare Payment Amount |
12214.64 |
Total Medical Medicare Standardized Payment Amount |
12458.61 |
Average Age Of Beneficiaries |
53 |
Number Of Beneficiaries Age Less65 |
115 |
Number Of Beneficiaries Age 65 to 74 |
|
Number Of Beneficiaries Age 75 to 84 |
|
Number Of Beneficiaries Age Greater 84 |
|
Number Of Female Beneficiaries |
60 |
Number Of Male Beneficiaries |
74 |
Number Of Non Hispanic White Beneficiaries |
|
Number Of Black or African American Beneficiaries |
95 |
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 |
|
Number Of Beneficiaries With Medicare Only Entitlement |
18 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
116 |
Percent Of With Atrial Fibrillation |
|
Percent Of With Alzheimers Disease or Dementia |
|
Percent Of With Asthma |
11 |
Percent Of With Cancer |
|
Percent Of With Heart Failure |
|
Percent Of With Chronic Kidney Disease |
11 |
Percent Of With Chronic Obstructive Pulmonary Disease |
9 |
Percent Of With Depression |
37 |
Percent Of With Diabetes |
32 |
Percent Of With Hyperlipidemia |
33 |
Percent Of With Hypertension |
49 |
Percent Of With Ischemic Heart Disease |
14 |
Percent Of With Osteoporosis |
|
Percent Of With Rheumatoid Arthritis Osteoarthritis |
14 |
Percent Of With Schizophrenia Other PsychoticDisorders |
75 |
Percent Of With Stroke |
0 |
Average HCC Risk Score Of Beneficiaries |
1.134 |