National Provider Identifier [NPI]: |
1285984724 |
Last Name Of The Provider |
SCHLEICHER |
First Name Of The Provider |
MICHAEL |
Middle Initial Of The Provider |
L |
Credentials Of The Provider |
ARNP |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
2000 S MAIN ST |
Street Address 2 Of The Provider |
|
City Of The Provider |
FAIRFIELD |
Zip Code Of The Provider |
525569572 |
State Code Of The Provider |
IA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Nurse Practitioner |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
66 |
Number Of Services |
1687 |
Number Of Medicare Beneficiaries |
233 |
Total Submitted Charge Amount |
120685 |
Total Medicare Allowed Amount |
65018.96 |
Total Medicare Payment Amount |
43212.88 |
Total Medicare Standardized Payment Amount |
56933.34 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
6 |
Number Of Drug Services |
157 |
Number Of Medicare Beneficiaries With Drug Services |
18 |
Total Drug Submitted ChargeAmount |
1024 |
Total Drug Medicare AllowedAmount |
267.26 |
Total Drug Medicare PaymentAmount |
182.06 |
Total Drug Medicare Standardized Payment Amount |
182.06 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
60 |
Number Of Medical Services |
1530 |
Number Of Medicare Beneficiaries With Medical Services |
233 |
Total Medical Submitted Charge Amount |
119661 |
Total Medical Medicare Allowed Amount |
64751.7 |
Total Medical Medicare Payment Amount |
43030.82 |
Total Medical Medicare Standardized Payment Amount |
56751.28 |
Average Age Of Beneficiaries |
72 |
Number Of Beneficiaries Age Less65 |
43 |
Number Of Beneficiaries Age 65 to 74 |
80 |
Number Of Beneficiaries Age 75 to 84 |
68 |
Number Of Beneficiaries Age Greater 84 |
42 |
Number Of Female Beneficiaries |
132 |
Number Of Male Beneficiaries |
101 |
Number Of Non Hispanic White Beneficiaries |
|
Number Of Black or African American Beneficiaries |
|
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 |
171 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
62 |
Percent Of With Atrial Fibrillation |
8 |
Percent Of With Alzheimers Disease or Dementia |
17 |
Percent Of With Asthma |
8 |
Percent Of With Cancer |
7 |
Percent Of With Heart Failure |
21 |
Percent Of With Chronic Kidney Disease |
17 |
Percent Of With Chronic Obstructive Pulmonary Disease |
24 |
Percent Of With Depression |
34 |
Percent Of With Diabetes |
30 |
Percent Of With Hyperlipidemia |
50 |
Percent Of With Hypertension |
65 |
Percent Of With Ischemic Heart Disease |
34 |
Percent Of With Osteoporosis |
5 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
50 |
Percent Of With Schizophrenia Other PsychoticDisorders |
10 |
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
1.1107 |