National Provider Identifier [NPI]: |
1942269741 |
Last Name Of The Provider |
SCHENDEL |
First Name Of The Provider |
KEVIN |
Middle Initial Of The Provider |
D |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
2600 GREENBUSH ST |
Street Address 2 Of The Provider |
|
City Of The Provider |
LAFAYETTE |
Zip Code Of The Provider |
479042479 |
State Code Of The Provider |
IN |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Internal Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
53 |
Number Of Services |
3380 |
Number Of Medicare Beneficiaries |
804 |
Total Submitted Charge Amount |
373466.27 |
Total Medicare Allowed Amount |
208385.98 |
Total Medicare Payment Amount |
148818.21 |
Total Medicare Standardized Payment Amount |
159126.14 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
8 |
Number Of Drug Services |
287 |
Number Of Medicare Beneficiaries With Drug Services |
183 |
Total Drug Submitted ChargeAmount |
8294 |
Total Drug Medicare AllowedAmount |
5005.27 |
Total Drug Medicare PaymentAmount |
4736.71 |
Total Drug Medicare Standardized Payment Amount |
4736.71 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
45 |
Number Of Medical Services |
3093 |
Number Of Medicare Beneficiaries With Medical Services |
804 |
Total Medical Submitted Charge Amount |
365172.27 |
Total Medical Medicare Allowed Amount |
203380.71 |
Total Medical Medicare Payment Amount |
144081.5 |
Total Medical Medicare Standardized Payment Amount |
154389.43 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
91 |
Number Of Beneficiaries Age 65 to 74 |
311 |
Number Of Beneficiaries Age 75 to 84 |
271 |
Number Of Beneficiaries Age Greater 84 |
131 |
Number Of Female Beneficiaries |
444 |
Number Of Male Beneficiaries |
360 |
Number Of Non Hispanic White Beneficiaries |
784 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
660 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
144 |
Percent Of With Atrial Fibrillation |
12 |
Percent Of With Alzheimers Disease or Dementia |
16 |
Percent Of With Asthma |
10 |
Percent Of With Cancer |
12 |
Percent Of With Heart Failure |
22 |
Percent Of With Chronic Kidney Disease |
30 |
Percent Of With Chronic Obstructive Pulmonary Disease |
19 |
Percent Of With Depression |
30 |
Percent Of With Diabetes |
36 |
Percent Of With Hyperlipidemia |
62 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
39 |
Percent Of With Osteoporosis |
8 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
33 |
Percent Of With Schizophrenia Other PsychoticDisorders |
7 |
Percent Of With Stroke |
6 |
Average HCC Risk Score Of Beneficiaries |
1.3038 |