National Provider Identifier [NPI]: |
1639271331 |
Last Name Of The Provider |
SCHAUFELE |
First Name Of The Provider |
MICHAEL |
Middle Initial Of The Provider |
K |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
400 TOWER ROAD NE |
Street Address 2 Of The Provider |
SUITE 350 |
City Of The Provider |
MARIETTA |
Zip Code Of The Provider |
300609415 |
State Code Of The Provider |
GA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Physical Medicine and Rehabilitation |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
87 |
Number Of Services |
18693 |
Number Of Medicare Beneficiaries |
986 |
Total Submitted Charge Amount |
2140014.74 |
Total Medicare Allowed Amount |
715133.37 |
Total Medicare Payment Amount |
591487.52 |
Total Medicare Standardized Payment Amount |
533157.22 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
6 |
Number Of Drug Services |
1663 |
Number Of Medicare Beneficiaries With Drug Services |
194 |
Total Drug Submitted ChargeAmount |
24850 |
Total Drug Medicare AllowedAmount |
9137.66 |
Total Drug Medicare PaymentAmount |
6962.26 |
Total Drug Medicare Standardized Payment Amount |
6962.26 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
81 |
Number Of Medical Services |
17030 |
Number Of Medicare Beneficiaries With Medical Services |
986 |
Total Medical Submitted Charge Amount |
2115164.74 |
Total Medical Medicare Allowed Amount |
705995.71 |
Total Medical Medicare Payment Amount |
584525.26 |
Total Medical Medicare Standardized Payment Amount |
526194.96 |
Average Age Of Beneficiaries |
67 |
Number Of Beneficiaries Age Less65 |
344 |
Number Of Beneficiaries Age 65 to 74 |
395 |
Number Of Beneficiaries Age 75 to 84 |
191 |
Number Of Beneficiaries Age Greater 84 |
56 |
Number Of Female Beneficiaries |
670 |
Number Of Male Beneficiaries |
316 |
Number Of Non Hispanic White Beneficiaries |
865 |
Number Of Black or African American Beneficiaries |
97 |
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 |
758 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
228 |
Percent Of With Atrial Fibrillation |
9 |
Percent Of With Alzheimers Disease or Dementia |
6 |
Percent Of With Asthma |
11 |
Percent Of With Cancer |
11 |
Percent Of With Heart Failure |
17 |
Percent Of With Chronic Kidney Disease |
25 |
Percent Of With Chronic Obstructive Pulmonary Disease |
20 |
Percent Of With Depression |
35 |
Percent Of With Diabetes |
34 |
Percent Of With Hyperlipidemia |
55 |
Percent Of With Hypertension |
68 |
Percent Of With Ischemic Heart Disease |
33 |
Percent Of With Osteoporosis |
9 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
75 |
Percent Of With Schizophrenia Other PsychoticDisorders |
4 |
Percent Of With Stroke |
4 |
Average HCC Risk Score Of Beneficiaries |
1.5142 |