National Provider Identifier [NPI]: |
1851395362 |
Last Name Of The Provider |
SCHMIDT |
First Name Of The Provider |
RODNEY |
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 |
12554 RIATA VISTA CIR |
Street Address 2 Of The Provider |
|
City Of The Provider |
AUSTIN |
Zip Code Of The Provider |
787276431 |
State Code Of The Provider |
TX |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Diagnostic Radiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
115 |
Number Of Services |
5859 |
Number Of Medicare Beneficiaries |
1614 |
Total Submitted Charge Amount |
738561.5 |
Total Medicare Allowed Amount |
192772.24 |
Total Medicare Payment Amount |
145463.3 |
Total Medicare Standardized Payment Amount |
152071.31 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
9 |
Number Of Drug Services |
3482 |
Number Of Medicare Beneficiaries With Drug Services |
120 |
Total Drug Submitted ChargeAmount |
16906.5 |
Total Drug Medicare AllowedAmount |
2560.5 |
Total Drug Medicare PaymentAmount |
1780.62 |
Total Drug Medicare Standardized Payment Amount |
1780.62 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
106 |
Number Of Medical Services |
2377 |
Number Of Medicare Beneficiaries With Medical Services |
1614 |
Total Medical Submitted Charge Amount |
721655 |
Total Medical Medicare Allowed Amount |
190211.74 |
Total Medical Medicare Payment Amount |
143682.68 |
Total Medical Medicare Standardized Payment Amount |
150290.69 |
Average Age Of Beneficiaries |
72 |
Number Of Beneficiaries Age Less65 |
302 |
Number Of Beneficiaries Age 65 to 74 |
601 |
Number Of Beneficiaries Age 75 to 84 |
451 |
Number Of Beneficiaries Age Greater 84 |
260 |
Number Of Female Beneficiaries |
893 |
Number Of Male Beneficiaries |
721 |
Number Of Non Hispanic White Beneficiaries |
1203 |
Number Of Black or African American Beneficiaries |
149 |
Number Of AsianPacific Islander Beneficiaries |
27 |
Number Of Hispanic Beneficiaries |
212 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
1229 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
385 |
Percent Of With Atrial Fibrillation |
17 |
Percent Of With Alzheimers Disease or Dementia |
23 |
Percent Of With Asthma |
12 |
Percent Of With Cancer |
13 |
Percent Of With Heart Failure |
30 |
Percent Of With Chronic Kidney Disease |
36 |
Percent Of With Chronic Obstructive Pulmonary Disease |
19 |
Percent Of With Depression |
39 |
Percent Of With Diabetes |
35 |
Percent Of With Hyperlipidemia |
63 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
45 |
Percent Of With Osteoporosis |
14 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
50 |
Percent Of With Schizophrenia Other PsychoticDisorders |
9 |
Percent Of With Stroke |
25 |
Average HCC Risk Score Of Beneficiaries |
1.7963 |