National Provider Identifier [NPI]: |
1972516979 |
Last Name Of The Provider |
SCHRAMM |
First Name Of The Provider |
ROBERT |
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 |
2499 GLADES RD |
Street Address 2 Of The Provider |
SUITE 306 |
City Of The Provider |
BOCA RATON |
Zip Code Of The Provider |
33431 |
State Code Of The Provider |
FL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Allergy/Immunology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
37 |
Number Of Services |
10012 |
Number Of Medicare Beneficiaries |
251 |
Total Submitted Charge Amount |
259279.5 |
Total Medicare Allowed Amount |
195631.41 |
Total Medicare Payment Amount |
148777.76 |
Total Medicare Standardized Payment Amount |
145868.29 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
8 |
Number Of Drug Services |
2110 |
Number Of Medicare Beneficiaries With Drug Services |
76 |
Total Drug Submitted ChargeAmount |
62200 |
Total Drug Medicare AllowedAmount |
53944.85 |
Total Drug Medicare PaymentAmount |
42521.49 |
Total Drug Medicare Standardized Payment Amount |
42521.49 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
29 |
Number Of Medical Services |
7902 |
Number Of Medicare Beneficiaries With Medical Services |
251 |
Total Medical Submitted Charge Amount |
197079.5 |
Total Medical Medicare Allowed Amount |
141686.56 |
Total Medical Medicare Payment Amount |
106256.27 |
Total Medical Medicare Standardized Payment Amount |
103346.8 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
19 |
Number Of Beneficiaries Age 65 to 74 |
114 |
Number Of Beneficiaries Age 75 to 84 |
93 |
Number Of Beneficiaries Age Greater 84 |
25 |
Number Of Female Beneficiaries |
150 |
Number Of Male Beneficiaries |
101 |
Number Of Non Hispanic White Beneficiaries |
235 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
237 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
14 |
Percent Of With Atrial Fibrillation |
8 |
Percent Of With Alzheimers Disease or Dementia |
9 |
Percent Of With Asthma |
31 |
Percent Of With Cancer |
12 |
Percent Of With Heart Failure |
11 |
Percent Of With Chronic Kidney Disease |
18 |
Percent Of With Chronic Obstructive Pulmonary Disease |
11 |
Percent Of With Depression |
25 |
Percent Of With Diabetes |
25 |
Percent Of With Hyperlipidemia |
71 |
Percent Of With Hypertension |
64 |
Percent Of With Ischemic Heart Disease |
45 |
Percent Of With Osteoporosis |
15 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
47 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
|
Average HCC Risk Score Of Beneficiaries |
1.0688 |