National Provider Identifier [NPI]: |
1023086642 |
Last Name Of The Provider |
SCHNECK |
First Name Of The Provider |
MICHAEL |
Middle Initial Of The Provider |
J |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
2160 S 1ST AVE |
Street Address 2 Of The Provider |
(MAGUIRE CENTER, RM. 2700) |
City Of The Provider |
MAYWOOD |
Zip Code Of The Provider |
60153 |
State Code Of The Provider |
IL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Neurology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
42 |
Number Of Services |
2627 |
Number Of Medicare Beneficiaries |
889 |
Total Submitted Charge Amount |
707201 |
Total Medicare Allowed Amount |
234140.92 |
Total Medicare Payment Amount |
179586.38 |
Total Medicare Standardized Payment Amount |
169210.78 |
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 |
42 |
Number Of Medical Services |
2627 |
Number Of Medicare Beneficiaries With Medical Services |
889 |
Total Medical Submitted Charge Amount |
707201 |
Total Medical Medicare Allowed Amount |
234140.92 |
Total Medical Medicare Payment Amount |
179586.38 |
Total Medical Medicare Standardized Payment Amount |
169210.78 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
152 |
Number Of Beneficiaries Age 65 to 74 |
327 |
Number Of Beneficiaries Age 75 to 84 |
301 |
Number Of Beneficiaries Age Greater 84 |
109 |
Number Of Female Beneficiaries |
438 |
Number Of Male Beneficiaries |
451 |
Number Of Non Hispanic White Beneficiaries |
672 |
Number Of Black or African American Beneficiaries |
133 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
66 |
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
683 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
206 |
Percent Of With Atrial Fibrillation |
24 |
Percent Of With Alzheimers Disease or Dementia |
21 |
Percent Of With Asthma |
11 |
Percent Of With Cancer |
13 |
Percent Of With Heart Failure |
35 |
Percent Of With Chronic Kidney Disease |
41 |
Percent Of With Chronic Obstructive Pulmonary Disease |
17 |
Percent Of With Depression |
29 |
Percent Of With Diabetes |
42 |
Percent Of With Hyperlipidemia |
74 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
62 |
Percent Of With Osteoporosis |
10 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
49 |
Percent Of With Schizophrenia Other PsychoticDisorders |
6 |
Percent Of With Stroke |
36 |
Average HCC Risk Score Of Beneficiaries |
1.8952 |