National Provider Identifier [NPI]: |
1568438646 |
Last Name Of The Provider |
SCHULTES |
First Name Of The Provider |
ROBERT |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1444 2ND AVE SE |
Street Address 2 Of The Provider |
|
City Of The Provider |
CEDAR RAPIDS |
Zip Code Of The Provider |
524032357 |
State Code Of The Provider |
IA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Family Practice |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
44 |
Number Of Services |
1838 |
Number Of Medicare Beneficiaries |
312 |
Total Submitted Charge Amount |
210469 |
Total Medicare Allowed Amount |
106772.93 |
Total Medicare Payment Amount |
75418.92 |
Total Medicare Standardized Payment Amount |
81300.96 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
5 |
Number Of Drug Services |
103 |
Number Of Medicare Beneficiaries With Drug Services |
96 |
Total Drug Submitted ChargeAmount |
4213 |
Total Drug Medicare AllowedAmount |
2391.15 |
Total Drug Medicare PaymentAmount |
2331.77 |
Total Drug Medicare Standardized Payment Amount |
2331.77 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
39 |
Number Of Medical Services |
1735 |
Number Of Medicare Beneficiaries With Medical Services |
311 |
Total Medical Submitted Charge Amount |
206256 |
Total Medical Medicare Allowed Amount |
104381.78 |
Total Medical Medicare Payment Amount |
73087.15 |
Total Medical Medicare Standardized Payment Amount |
78969.19 |
Average Age Of Beneficiaries |
70 |
Number Of Beneficiaries Age Less65 |
98 |
Number Of Beneficiaries Age 65 to 74 |
87 |
Number Of Beneficiaries Age 75 to 84 |
79 |
Number Of Beneficiaries Age Greater 84 |
48 |
Number Of Female Beneficiaries |
158 |
Number Of Male Beneficiaries |
154 |
Number Of Non Hispanic White Beneficiaries |
267 |
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 |
168 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
144 |
Percent Of With Atrial Fibrillation |
11 |
Percent Of With Alzheimers Disease or Dementia |
10 |
Percent Of With Asthma |
7 |
Percent Of With Cancer |
9 |
Percent Of With Heart Failure |
15 |
Percent Of With Chronic Kidney Disease |
15 |
Percent Of With Chronic Obstructive Pulmonary Disease |
27 |
Percent Of With Depression |
28 |
Percent Of With Diabetes |
36 |
Percent Of With Hyperlipidemia |
47 |
Percent Of With Hypertension |
63 |
Percent Of With Ischemic Heart Disease |
35 |
Percent Of With Osteoporosis |
6 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
33 |
Percent Of With Schizophrenia Other PsychoticDisorders |
10 |
Percent Of With Stroke |
|
Average HCC Risk Score Of Beneficiaries |
1.2252 |