National Provider Identifier [NPI]: |
1760430300 |
Last Name Of The Provider |
SCHINDLER |
First Name Of The Provider |
ANDREA |
Middle Initial Of The Provider |
M |
Credentials Of The Provider |
DO |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
2055 W HOSPITAL DR |
Street Address 2 Of The Provider |
#255 NORTHWEST MEDICAL GROUP |
City Of The Provider |
TUCSON |
Zip Code Of The Provider |
85704 |
State Code Of The Provider |
AZ |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Family Practice |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
162 |
Number Of Services |
3662 |
Number Of Medicare Beneficiaries |
147 |
Total Submitted Charge Amount |
214031.8 |
Total Medicare Allowed Amount |
108824.95 |
Total Medicare Payment Amount |
86935.53 |
Total Medicare Standardized Payment Amount |
91115.57 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
7 |
Number Of Drug Services |
986 |
Number Of Medicare Beneficiaries With Drug Services |
50 |
Total Drug Submitted ChargeAmount |
8973 |
Total Drug Medicare AllowedAmount |
5368.37 |
Total Drug Medicare PaymentAmount |
5169.97 |
Total Drug Medicare Standardized Payment Amount |
5169.97 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
155 |
Number Of Medical Services |
2676 |
Number Of Medicare Beneficiaries With Medical Services |
147 |
Total Medical Submitted Charge Amount |
205058.8 |
Total Medical Medicare Allowed Amount |
103456.58 |
Total Medical Medicare Payment Amount |
81765.56 |
Total Medical Medicare Standardized Payment Amount |
85945.6 |
Average Age Of Beneficiaries |
71 |
Number Of Beneficiaries Age Less65 |
|
Number Of Beneficiaries Age 65 to 74 |
85 |
Number Of Beneficiaries Age 75 to 84 |
39 |
Number Of Beneficiaries Age Greater 84 |
|
Number Of Female Beneficiaries |
103 |
Number Of Male Beneficiaries |
44 |
Number Of Non Hispanic White Beneficiaries |
123 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
12 |
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
|
Number Of Beneficiaries With Medicare Medicaid Entitlement |
|
Percent Of With Atrial Fibrillation |
|
Percent Of With Alzheimers Disease or Dementia |
|
Percent Of With Asthma |
|
Percent Of With Cancer |
|
Percent Of With Heart Failure |
|
Percent Of With Chronic Kidney Disease |
21 |
Percent Of With Chronic Obstructive Pulmonary Disease |
|
Percent Of With Depression |
29 |
Percent Of With Diabetes |
27 |
Percent Of With Hyperlipidemia |
65 |
Percent Of With Hypertension |
53 |
Percent Of With Ischemic Heart Disease |
23 |
Percent Of With Osteoporosis |
12 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
20 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
|
Average HCC Risk Score Of Beneficiaries |
0.906 |