National Provider Identifier [NPI]: |
1063414316 |
Last Name Of The Provider |
SCHWARTZ |
First Name Of The Provider |
STEPHANIE |
Middle Initial Of The Provider |
M |
Credentials Of The Provider |
MD |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
2800 GARTH RD |
Street Address 2 Of The Provider |
|
City Of The Provider |
BAYTOWN |
Zip Code Of The Provider |
775213947 |
State Code Of The Provider |
TX |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Neurology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
23 |
Number Of Services |
1136 |
Number Of Medicare Beneficiaries |
314 |
Total Submitted Charge Amount |
311689.15 |
Total Medicare Allowed Amount |
118286.06 |
Total Medicare Payment Amount |
86978.25 |
Total Medicare Standardized Payment Amount |
88716.85 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
4 |
Number Of Drug Services |
49 |
Number Of Medicare Beneficiaries With Drug Services |
23 |
Total Drug Submitted ChargeAmount |
954 |
Total Drug Medicare AllowedAmount |
312.56 |
Total Drug Medicare PaymentAmount |
288.92 |
Total Drug Medicare Standardized Payment Amount |
288.92 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
19 |
Number Of Medical Services |
1087 |
Number Of Medicare Beneficiaries With Medical Services |
314 |
Total Medical Submitted Charge Amount |
310735.15 |
Total Medical Medicare Allowed Amount |
117973.5 |
Total Medical Medicare Payment Amount |
86689.33 |
Total Medical Medicare Standardized Payment Amount |
88427.93 |
Average Age Of Beneficiaries |
71 |
Number Of Beneficiaries Age Less65 |
62 |
Number Of Beneficiaries Age 65 to 74 |
126 |
Number Of Beneficiaries Age 75 to 84 |
81 |
Number Of Beneficiaries Age Greater 84 |
45 |
Number Of Female Beneficiaries |
179 |
Number Of Male Beneficiaries |
135 |
Number Of Non Hispanic White Beneficiaries |
249 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
34 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
257 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
57 |
Percent Of With Atrial Fibrillation |
11 |
Percent Of With Alzheimers Disease or Dementia |
29 |
Percent Of With Asthma |
8 |
Percent Of With Cancer |
5 |
Percent Of With Heart Failure |
21 |
Percent Of With Chronic Kidney Disease |
29 |
Percent Of With Chronic Obstructive Pulmonary Disease |
22 |
Percent Of With Depression |
39 |
Percent Of With Diabetes |
41 |
Percent Of With Hyperlipidemia |
67 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
49 |
Percent Of With Osteoporosis |
12 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
50 |
Percent Of With Schizophrenia Other PsychoticDisorders |
5 |
Percent Of With Stroke |
34 |
Average HCC Risk Score Of Beneficiaries |
1.5916 |