National Provider Identifier [NPI]: |
1649232331 |
Last Name Of The Provider |
SCHWENTKER |
First Name Of The Provider |
ANDREW |
Middle Initial Of The Provider |
E |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
190 CAMPUS BLVD |
Street Address 2 Of The Provider |
SUITE 200 |
City Of The Provider |
WINCHESTER |
Zip Code Of The Provider |
226012872 |
State Code Of The Provider |
VA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Internal Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
77 |
Number Of Services |
12938 |
Number Of Medicare Beneficiaries |
1337 |
Total Submitted Charge Amount |
574213.06 |
Total Medicare Allowed Amount |
410716.34 |
Total Medicare Payment Amount |
341037.05 |
Total Medicare Standardized Payment Amount |
341527.68 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
4 |
Number Of Drug Services |
335 |
Number Of Medicare Beneficiaries With Drug Services |
312 |
Total Drug Submitted ChargeAmount |
9307 |
Total Drug Medicare AllowedAmount |
8184.56 |
Total Drug Medicare PaymentAmount |
7956.02 |
Total Drug Medicare Standardized Payment Amount |
7956.02 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
73 |
Number Of Medical Services |
12603 |
Number Of Medicare Beneficiaries With Medical Services |
1337 |
Total Medical Submitted Charge Amount |
564906.06 |
Total Medical Medicare Allowed Amount |
402531.78 |
Total Medical Medicare Payment Amount |
333081.03 |
Total Medical Medicare Standardized Payment Amount |
333571.66 |
Average Age Of Beneficiaries |
76 |
Number Of Beneficiaries Age Less65 |
92 |
Number Of Beneficiaries Age 65 to 74 |
514 |
Number Of Beneficiaries Age 75 to 84 |
492 |
Number Of Beneficiaries Age Greater 84 |
239 |
Number Of Female Beneficiaries |
642 |
Number Of Male Beneficiaries |
695 |
Number Of Non Hispanic White Beneficiaries |
1260 |
Number Of Black or African American Beneficiaries |
45 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
13 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
1198 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
139 |
Percent Of With Atrial Fibrillation |
23 |
Percent Of With Alzheimers Disease or Dementia |
13 |
Percent Of With Asthma |
7 |
Percent Of With Cancer |
13 |
Percent Of With Heart Failure |
24 |
Percent Of With Chronic Kidney Disease |
32 |
Percent Of With Chronic Obstructive Pulmonary Disease |
20 |
Percent Of With Depression |
19 |
Percent Of With Diabetes |
36 |
Percent Of With Hyperlipidemia |
71 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
45 |
Percent Of With Osteoporosis |
6 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
36 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
8 |
Average HCC Risk Score Of Beneficiaries |
1.2761 |