National Provider Identifier [NPI]: |
1568637247 |
Last Name Of The Provider |
SCHRADER |
First Name Of The Provider |
LAURA |
Middle Initial Of The Provider |
J |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
7482 WATERSIDE CROSSING BLVD |
Street Address 2 Of The Provider |
SUITE 202 |
City Of The Provider |
DENVER |
Zip Code Of The Provider |
280373005 |
State Code Of The Provider |
NC |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Family Practice |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
90 |
Number Of Services |
1079 |
Number Of Medicare Beneficiaries |
190 |
Total Submitted Charge Amount |
128934 |
Total Medicare Allowed Amount |
57672.95 |
Total Medicare Payment Amount |
41600.33 |
Total Medicare Standardized Payment Amount |
44283.43 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
14 |
Number Of Drug Services |
232 |
Number Of Medicare Beneficiaries With Drug Services |
72 |
Total Drug Submitted ChargeAmount |
11179 |
Total Drug Medicare AllowedAmount |
3614.57 |
Total Drug Medicare PaymentAmount |
3343.72 |
Total Drug Medicare Standardized Payment Amount |
3343.72 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
76 |
Number Of Medical Services |
847 |
Number Of Medicare Beneficiaries With Medical Services |
190 |
Total Medical Submitted Charge Amount |
117755 |
Total Medical Medicare Allowed Amount |
54058.38 |
Total Medical Medicare Payment Amount |
38256.61 |
Total Medical Medicare Standardized Payment Amount |
40939.71 |
Average Age Of Beneficiaries |
71 |
Number Of Beneficiaries Age Less65 |
25 |
Number Of Beneficiaries Age 65 to 74 |
93 |
Number Of Beneficiaries Age 75 to 84 |
56 |
Number Of Beneficiaries Age Greater 84 |
16 |
Number Of Female Beneficiaries |
134 |
Number Of Male Beneficiaries |
56 |
Number Of Non Hispanic White Beneficiaries |
178 |
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 |
166 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
24 |
Percent Of With Atrial Fibrillation |
9 |
Percent Of With Alzheimers Disease or Dementia |
9 |
Percent Of With Asthma |
8 |
Percent Of With Cancer |
7 |
Percent Of With Heart Failure |
11 |
Percent Of With Chronic Kidney Disease |
21 |
Percent Of With Chronic Obstructive Pulmonary Disease |
20 |
Percent Of With Depression |
25 |
Percent Of With Diabetes |
28 |
Percent Of With Hyperlipidemia |
61 |
Percent Of With Hypertension |
64 |
Percent Of With Ischemic Heart Disease |
23 |
Percent Of With Osteoporosis |
15 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
40 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
|
Average HCC Risk Score Of Beneficiaries |
1.0362 |