National Provider Identifier [NPI]: |
1245204965 |
Last Name Of The Provider |
SCHUMAKER |
First Name Of The Provider |
KAREN |
Middle Initial Of The Provider |
A |
Credentials Of The Provider |
PA |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
2060 EAST PANS AVE SE |
Street Address 2 Of The Provider |
SUITE 200 |
City Of The Provider |
GRAND RAPIDS |
Zip Code Of The Provider |
49546 |
State Code Of The Provider |
MI |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Physician Assistant |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
33 |
Number Of Services |
873 |
Number Of Medicare Beneficiaries |
317 |
Total Submitted Charge Amount |
111872.58 |
Total Medicare Allowed Amount |
54480.35 |
Total Medicare Payment Amount |
38306.78 |
Total Medicare Standardized Payment Amount |
48088.37 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
11 |
Number Of Drug Services |
194 |
Number Of Medicare Beneficiaries With Drug Services |
54 |
Total Drug Submitted ChargeAmount |
5176 |
Total Drug Medicare AllowedAmount |
2325.02 |
Total Drug Medicare PaymentAmount |
1803.45 |
Total Drug Medicare Standardized Payment Amount |
1803.45 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
22 |
Number Of Medical Services |
679 |
Number Of Medicare Beneficiaries With Medical Services |
317 |
Total Medical Submitted Charge Amount |
106696.58 |
Total Medical Medicare Allowed Amount |
52155.33 |
Total Medical Medicare Payment Amount |
36503.33 |
Total Medical Medicare Standardized Payment Amount |
46284.92 |
Average Age Of Beneficiaries |
63 |
Number Of Beneficiaries Age Less65 |
163 |
Number Of Beneficiaries Age 65 to 74 |
70 |
Number Of Beneficiaries Age 75 to 84 |
52 |
Number Of Beneficiaries Age Greater 84 |
32 |
Number Of Female Beneficiaries |
224 |
Number Of Male Beneficiaries |
93 |
Number Of Non Hispanic White Beneficiaries |
267 |
Number Of Black or African American Beneficiaries |
30 |
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 |
201 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
116 |
Percent Of With Atrial Fibrillation |
8 |
Percent Of With Alzheimers Disease or Dementia |
6 |
Percent Of With Asthma |
13 |
Percent Of With Cancer |
7 |
Percent Of With Heart Failure |
18 |
Percent Of With Chronic Kidney Disease |
25 |
Percent Of With Chronic Obstructive Pulmonary Disease |
19 |
Percent Of With Depression |
54 |
Percent Of With Diabetes |
27 |
Percent Of With Hyperlipidemia |
48 |
Percent Of With Hypertension |
68 |
Percent Of With Ischemic Heart Disease |
31 |
Percent Of With Osteoporosis |
11 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
75 |
Percent Of With Schizophrenia Other PsychoticDisorders |
6 |
Percent Of With Stroke |
4 |
Average HCC Risk Score Of Beneficiaries |
1.6399 |