National Provider Identifier [NPI]: |
1346230174 |
Last Name Of The Provider |
SCHWARTZ |
First Name Of The Provider |
JON |
Middle Initial Of The Provider |
H |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1021 PARK AVE |
Street Address 2 Of The Provider |
SUITE 101 |
City Of The Provider |
QUAKERTOWN |
Zip Code Of The Provider |
189511573 |
State Code Of The Provider |
PA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Internal Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
44 |
Number Of Services |
2078 |
Number Of Medicare Beneficiaries |
552 |
Total Submitted Charge Amount |
189798.31 |
Total Medicare Allowed Amount |
159712.13 |
Total Medicare Payment Amount |
112923.04 |
Total Medicare Standardized Payment Amount |
108018.57 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
7 |
Number Of Drug Services |
61 |
Number Of Medicare Beneficiaries With Drug Services |
55 |
Total Drug Submitted ChargeAmount |
2399 |
Total Drug Medicare AllowedAmount |
772.07 |
Total Drug Medicare PaymentAmount |
750.96 |
Total Drug Medicare Standardized Payment Amount |
750.96 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
37 |
Number Of Medical Services |
2017 |
Number Of Medicare Beneficiaries With Medical Services |
552 |
Total Medical Submitted Charge Amount |
187399.31 |
Total Medical Medicare Allowed Amount |
158940.06 |
Total Medical Medicare Payment Amount |
112172.08 |
Total Medical Medicare Standardized Payment Amount |
107267.61 |
Average Age Of Beneficiaries |
78 |
Number Of Beneficiaries Age Less65 |
49 |
Number Of Beneficiaries Age 65 to 74 |
151 |
Number Of Beneficiaries Age 75 to 84 |
169 |
Number Of Beneficiaries Age Greater 84 |
183 |
Number Of Female Beneficiaries |
313 |
Number Of Male Beneficiaries |
239 |
Number Of Non Hispanic White Beneficiaries |
535 |
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 |
419 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
133 |
Percent Of With Atrial Fibrillation |
22 |
Percent Of With Alzheimers Disease or Dementia |
31 |
Percent Of With Asthma |
6 |
Percent Of With Cancer |
12 |
Percent Of With Heart Failure |
27 |
Percent Of With Chronic Kidney Disease |
29 |
Percent Of With Chronic Obstructive Pulmonary Disease |
19 |
Percent Of With Depression |
27 |
Percent Of With Diabetes |
33 |
Percent Of With Hyperlipidemia |
49 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
37 |
Percent Of With Osteoporosis |
11 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
41 |
Percent Of With Schizophrenia Other PsychoticDisorders |
7 |
Percent Of With Stroke |
10 |
Average HCC Risk Score Of Beneficiaries |
1.5414 |