National Provider Identifier [NPI]: |
1306901509 |
Last Name Of The Provider |
SCHMIDT |
First Name Of The Provider |
BART |
Middle Initial Of The Provider |
J |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1000 MINERAL POINT AVE |
Street Address 2 Of The Provider |
|
City Of The Provider |
JANESVILLE |
Zip Code Of The Provider |
535482940 |
State Code Of The Provider |
WI |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Diagnostic Radiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
215 |
Number Of Services |
2758 |
Number Of Medicare Beneficiaries |
1568 |
Total Submitted Charge Amount |
193601.65 |
Total Medicare Allowed Amount |
98847.36 |
Total Medicare Payment Amount |
74922.24 |
Total Medicare Standardized Payment Amount |
79931.4 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
0 |
Number Of Drug Services |
0 |
Number Of Medicare Beneficiaries With Drug Services |
0 |
Total Drug Submitted ChargeAmount |
0 |
Total Drug Medicare AllowedAmount |
0 |
Total Drug Medicare PaymentAmount |
0 |
Total Drug Medicare Standardized Payment Amount |
0 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
215 |
Number Of Medical Services |
2758 |
Number Of Medicare Beneficiaries With Medical Services |
1568 |
Total Medical Submitted Charge Amount |
193601.65 |
Total Medical Medicare Allowed Amount |
98847.36 |
Total Medical Medicare Payment Amount |
74922.24 |
Total Medical Medicare Standardized Payment Amount |
79931.4 |
Average Age Of Beneficiaries |
70 |
Number Of Beneficiaries Age Less65 |
392 |
Number Of Beneficiaries Age 65 to 74 |
587 |
Number Of Beneficiaries Age 75 to 84 |
408 |
Number Of Beneficiaries Age Greater 84 |
181 |
Number Of Female Beneficiaries |
995 |
Number Of Male Beneficiaries |
573 |
Number Of Non Hispanic White Beneficiaries |
1476 |
Number Of Black or African American Beneficiaries |
43 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
23 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
12 |
Number Of Beneficiaries With Medicare Only Entitlement |
1150 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
418 |
Percent Of With Atrial Fibrillation |
12 |
Percent Of With Alzheimers Disease or Dementia |
10 |
Percent Of With Asthma |
14 |
Percent Of With Cancer |
15 |
Percent Of With Heart Failure |
20 |
Percent Of With Chronic Kidney Disease |
30 |
Percent Of With Chronic Obstructive Pulmonary Disease |
24 |
Percent Of With Depression |
32 |
Percent Of With Diabetes |
34 |
Percent Of With Hyperlipidemia |
55 |
Percent Of With Hypertension |
66 |
Percent Of With Ischemic Heart Disease |
31 |
Percent Of With Osteoporosis |
11 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
39 |
Percent Of With Schizophrenia Other PsychoticDisorders |
7 |
Percent Of With Stroke |
7 |
Average HCC Risk Score Of Beneficiaries |
1.4519 |