National Provider Identifier [NPI]: |
1639110810 |
Last Name Of The Provider |
SCHMIDT |
First Name Of The Provider |
LAURA |
Middle Initial Of The Provider |
M |
Credentials Of The Provider |
|
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
4330 WORNALL RD |
Street Address 2 Of The Provider |
SUITE 2000 |
City Of The Provider |
KANSAS CITY |
Zip Code Of The Provider |
641113201 |
State Code Of The Provider |
MO |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Internal Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
37 |
Number Of Services |
2225 |
Number Of Medicare Beneficiaries |
1142 |
Total Submitted Charge Amount |
387109 |
Total Medicare Allowed Amount |
166160.28 |
Total Medicare Payment Amount |
122988.56 |
Total Medicare Standardized Payment Amount |
126018.18 |
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 |
37 |
Number Of Medical Services |
2225 |
Number Of Medicare Beneficiaries With Medical Services |
1142 |
Total Medical Submitted Charge Amount |
387109 |
Total Medical Medicare Allowed Amount |
166160.28 |
Total Medical Medicare Payment Amount |
122988.56 |
Total Medical Medicare Standardized Payment Amount |
126018.18 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
162 |
Number Of Beneficiaries Age 65 to 74 |
400 |
Number Of Beneficiaries Age 75 to 84 |
340 |
Number Of Beneficiaries Age Greater 84 |
240 |
Number Of Female Beneficiaries |
631 |
Number Of Male Beneficiaries |
511 |
Number Of Non Hispanic White Beneficiaries |
1041 |
Number Of Black or African American Beneficiaries |
66 |
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 |
963 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
179 |
Percent Of With Atrial Fibrillation |
34 |
Percent Of With Alzheimers Disease or Dementia |
19 |
Percent Of With Asthma |
9 |
Percent Of With Cancer |
14 |
Percent Of With Heart Failure |
48 |
Percent Of With Chronic Kidney Disease |
38 |
Percent Of With Chronic Obstructive Pulmonary Disease |
28 |
Percent Of With Depression |
33 |
Percent Of With Diabetes |
40 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
69 |
Percent Of With Osteoporosis |
10 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
46 |
Percent Of With Schizophrenia Other PsychoticDisorders |
8 |
Percent Of With Stroke |
13 |
Average HCC Risk Score Of Beneficiaries |
1.7243 |