National Provider Identifier [NPI]: |
1306809769 |
Last Name Of The Provider |
SCHREIBER |
First Name Of The Provider |
PETER |
Middle Initial Of The Provider |
S |
Credentials Of The Provider |
D.O. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
126 DEL PRADO BLVD N |
Street Address 2 Of The Provider |
SUITE105 |
City Of The Provider |
CAPE CORAL |
Zip Code Of The Provider |
339092713 |
State Code Of The Provider |
FL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Physical Medicine and Rehabilitation |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
40 |
Number Of Services |
5693 |
Number Of Medicare Beneficiaries |
897 |
Total Submitted Charge Amount |
1089225.86 |
Total Medicare Allowed Amount |
514256.47 |
Total Medicare Payment Amount |
396883.99 |
Total Medicare Standardized Payment Amount |
381354.48 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
3 |
Number Of Drug Services |
415 |
Number Of Medicare Beneficiaries With Drug Services |
50 |
Total Drug Submitted ChargeAmount |
81980.56 |
Total Drug Medicare AllowedAmount |
3515.88 |
Total Drug Medicare PaymentAmount |
2743.18 |
Total Drug Medicare Standardized Payment Amount |
2743.18 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
37 |
Number Of Medical Services |
5278 |
Number Of Medicare Beneficiaries With Medical Services |
897 |
Total Medical Submitted Charge Amount |
1007245.3 |
Total Medical Medicare Allowed Amount |
510740.59 |
Total Medical Medicare Payment Amount |
394140.81 |
Total Medical Medicare Standardized Payment Amount |
378611.3 |
Average Age Of Beneficiaries |
75 |
Number Of Beneficiaries Age Less65 |
128 |
Number Of Beneficiaries Age 65 to 74 |
290 |
Number Of Beneficiaries Age 75 to 84 |
294 |
Number Of Beneficiaries Age Greater 84 |
185 |
Number Of Female Beneficiaries |
499 |
Number Of Male Beneficiaries |
398 |
Number Of Non Hispanic White Beneficiaries |
807 |
Number Of Black or African American Beneficiaries |
28 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
49 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
707 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
190 |
Percent Of With Atrial Fibrillation |
27 |
Percent Of With Alzheimers Disease or Dementia |
28 |
Percent Of With Asthma |
11 |
Percent Of With Cancer |
17 |
Percent Of With Heart Failure |
35 |
Percent Of With Chronic Kidney Disease |
39 |
Percent Of With Chronic Obstructive Pulmonary Disease |
31 |
Percent Of With Depression |
40 |
Percent Of With Diabetes |
42 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
59 |
Percent Of With Osteoporosis |
18 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
62 |
Percent Of With Schizophrenia Other PsychoticDisorders |
10 |
Percent Of With Stroke |
29 |
Average HCC Risk Score Of Beneficiaries |
1.7915 |