National Provider Identifier [NPI]: |
1447273990 |
Last Name Of The Provider |
SCHMITZ |
First Name Of The Provider |
BRADLEY |
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 |
3124 S 19TH ST |
Street Address 2 Of The Provider |
STE 140 |
City Of The Provider |
TACOMA |
Zip Code Of The Provider |
984052433 |
State Code Of The Provider |
WA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Internal Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
35 |
Number Of Services |
3158 |
Number Of Medicare Beneficiaries |
621 |
Total Submitted Charge Amount |
573236 |
Total Medicare Allowed Amount |
274285.82 |
Total Medicare Payment Amount |
201656.58 |
Total Medicare Standardized Payment Amount |
203816.9 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
8 |
Number Of Drug Services |
171 |
Number Of Medicare Beneficiaries With Drug Services |
135 |
Total Drug Submitted ChargeAmount |
6859 |
Total Drug Medicare AllowedAmount |
5540.67 |
Total Drug Medicare PaymentAmount |
5412.5 |
Total Drug Medicare Standardized Payment Amount |
5412.5 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
27 |
Number Of Medical Services |
2987 |
Number Of Medicare Beneficiaries With Medical Services |
621 |
Total Medical Submitted Charge Amount |
566377 |
Total Medical Medicare Allowed Amount |
268745.15 |
Total Medical Medicare Payment Amount |
196244.08 |
Total Medical Medicare Standardized Payment Amount |
198404.4 |
Average Age Of Beneficiaries |
77 |
Number Of Beneficiaries Age Less65 |
48 |
Number Of Beneficiaries Age 65 to 74 |
211 |
Number Of Beneficiaries Age 75 to 84 |
195 |
Number Of Beneficiaries Age Greater 84 |
167 |
Number Of Female Beneficiaries |
329 |
Number Of Male Beneficiaries |
292 |
Number Of Non Hispanic White Beneficiaries |
546 |
Number Of Black or African American Beneficiaries |
40 |
Number Of AsianPacific Islander Beneficiaries |
13 |
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 |
508 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
113 |
Percent Of With Atrial Fibrillation |
19 |
Percent Of With Alzheimers Disease or Dementia |
21 |
Percent Of With Asthma |
10 |
Percent Of With Cancer |
14 |
Percent Of With Heart Failure |
30 |
Percent Of With Chronic Kidney Disease |
34 |
Percent Of With Chronic Obstructive Pulmonary Disease |
26 |
Percent Of With Depression |
29 |
Percent Of With Diabetes |
29 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
37 |
Percent Of With Osteoporosis |
22 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
49 |
Percent Of With Schizophrenia Other PsychoticDisorders |
5 |
Percent Of With Stroke |
8 |
Average HCC Risk Score Of Beneficiaries |
1.5474 |