National Provider Identifier [NPI]: |
1891793790 |
Last Name Of The Provider |
SCHULTZ |
First Name Of The Provider |
STEVEN |
Middle Initial Of The Provider |
C |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
825 E ROBINSON ST |
Street Address 2 Of The Provider |
|
City Of The Provider |
NORMAN |
Zip Code Of The Provider |
730716610 |
State Code Of The Provider |
OK |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Orthopedic Surgery |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
153 |
Number Of Services |
5398 |
Number Of Medicare Beneficiaries |
782 |
Total Submitted Charge Amount |
1448829.26 |
Total Medicare Allowed Amount |
570139.26 |
Total Medicare Payment Amount |
427301.83 |
Total Medicare Standardized Payment Amount |
469500.17 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
4 |
Number Of Drug Services |
1601 |
Number Of Medicare Beneficiaries With Drug Services |
201 |
Total Drug Submitted ChargeAmount |
61386 |
Total Drug Medicare AllowedAmount |
36090.06 |
Total Drug Medicare PaymentAmount |
27510.85 |
Total Drug Medicare Standardized Payment Amount |
27510.85 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
149 |
Number Of Medical Services |
3797 |
Number Of Medicare Beneficiaries With Medical Services |
782 |
Total Medical Submitted Charge Amount |
1387443.26 |
Total Medical Medicare Allowed Amount |
534049.2 |
Total Medical Medicare Payment Amount |
399790.98 |
Total Medical Medicare Standardized Payment Amount |
441989.32 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
91 |
Number Of Beneficiaries Age 65 to 74 |
328 |
Number Of Beneficiaries Age 75 to 84 |
268 |
Number Of Beneficiaries Age Greater 84 |
95 |
Number Of Female Beneficiaries |
515 |
Number Of Male Beneficiaries |
267 |
Number Of Non Hispanic White Beneficiaries |
709 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
14 |
Number Of American Indian Alaska Native Beneficiaries |
40 |
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
662 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
120 |
Percent Of With Atrial Fibrillation |
9 |
Percent Of With Alzheimers Disease or Dementia |
10 |
Percent Of With Asthma |
10 |
Percent Of With Cancer |
8 |
Percent Of With Heart Failure |
17 |
Percent Of With Chronic Kidney Disease |
19 |
Percent Of With Chronic Obstructive Pulmonary Disease |
17 |
Percent Of With Depression |
29 |
Percent Of With Diabetes |
32 |
Percent Of With Hyperlipidemia |
53 |
Percent Of With Hypertension |
71 |
Percent Of With Ischemic Heart Disease |
39 |
Percent Of With Osteoporosis |
10 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
75 |
Percent Of With Schizophrenia Other PsychoticDisorders |
4 |
Percent Of With Stroke |
4 |
Average HCC Risk Score Of Beneficiaries |
1.1272 |