National Provider Identifier [NPI]: |
1699779314 |
Last Name Of The Provider |
SCHWARZ |
First Name Of The Provider |
JULIO |
Middle Initial Of The Provider |
F |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
6101 PHOENIX AVE |
Street Address 2 Of The Provider |
CON/ARC PLACE #3 |
City Of The Provider |
FORT SMITH |
Zip Code Of The Provider |
729035083 |
State Code Of The Provider |
AR |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Cardiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
29 |
Number Of Services |
11544 |
Number Of Medicare Beneficiaries |
944 |
Total Submitted Charge Amount |
1319501.1 |
Total Medicare Allowed Amount |
552837.06 |
Total Medicare Payment Amount |
409605.18 |
Total Medicare Standardized Payment Amount |
456250.36 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
6052 |
Number Of Medicare Beneficiaries With Drug Services |
303 |
Total Drug Submitted ChargeAmount |
130234.1 |
Total Drug Medicare AllowedAmount |
62765.29 |
Total Drug Medicare PaymentAmount |
48582.03 |
Total Drug Medicare Standardized Payment Amount |
48582.03 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
27 |
Number Of Medical Services |
5492 |
Number Of Medicare Beneficiaries With Medical Services |
944 |
Total Medical Submitted Charge Amount |
1189267 |
Total Medical Medicare Allowed Amount |
490071.77 |
Total Medical Medicare Payment Amount |
361023.15 |
Total Medical Medicare Standardized Payment Amount |
407668.33 |
Average Age Of Beneficiaries |
72 |
Number Of Beneficiaries Age Less65 |
168 |
Number Of Beneficiaries Age 65 to 74 |
404 |
Number Of Beneficiaries Age 75 to 84 |
266 |
Number Of Beneficiaries Age Greater 84 |
106 |
Number Of Female Beneficiaries |
527 |
Number Of Male Beneficiaries |
417 |
Number Of Non Hispanic White Beneficiaries |
855 |
Number Of Black or African American Beneficiaries |
24 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
15 |
Number Of American Indian Alaska Native Beneficiaries |
32 |
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
686 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
258 |
Percent Of With Atrial Fibrillation |
15 |
Percent Of With Alzheimers Disease or Dementia |
10 |
Percent Of With Asthma |
7 |
Percent Of With Cancer |
8 |
Percent Of With Heart Failure |
30 |
Percent Of With Chronic Kidney Disease |
24 |
Percent Of With Chronic Obstructive Pulmonary Disease |
21 |
Percent Of With Depression |
25 |
Percent Of With Diabetes |
36 |
Percent Of With Hyperlipidemia |
54 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
65 |
Percent Of With Osteoporosis |
9 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
34 |
Percent Of With Schizophrenia Other PsychoticDisorders |
4 |
Percent Of With Stroke |
4 |
Average HCC Risk Score Of Beneficiaries |
1.2579 |