National Provider Identifier [NPI]: |
1568464915 |
Last Name Of The Provider |
SCHWARTZ |
First Name Of The Provider |
BRUCE |
Middle Initial Of The Provider |
A |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
4321 WASHINGTON ST |
Street Address 2 Of The Provider |
STE 6000 |
City Of The Provider |
KANSAS CITY |
Zip Code Of The Provider |
641115961 |
State Code Of The Provider |
MO |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Pulmonary Disease |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
39 |
Number Of Services |
6358 |
Number Of Medicare Beneficiaries |
762 |
Total Submitted Charge Amount |
537141.32 |
Total Medicare Allowed Amount |
234369.34 |
Total Medicare Payment Amount |
178763.28 |
Total Medicare Standardized Payment Amount |
182032.59 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
11 |
Number Of Drug Services |
3486 |
Number Of Medicare Beneficiaries With Drug Services |
128 |
Total Drug Submitted ChargeAmount |
159261.32 |
Total Drug Medicare AllowedAmount |
86283.6 |
Total Drug Medicare PaymentAmount |
68052.93 |
Total Drug Medicare Standardized Payment Amount |
68052.93 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
28 |
Number Of Medical Services |
2872 |
Number Of Medicare Beneficiaries With Medical Services |
762 |
Total Medical Submitted Charge Amount |
377880 |
Total Medical Medicare Allowed Amount |
148085.74 |
Total Medical Medicare Payment Amount |
110710.35 |
Total Medical Medicare Standardized Payment Amount |
113979.66 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
82 |
Number Of Beneficiaries Age 65 to 74 |
297 |
Number Of Beneficiaries Age 75 to 84 |
262 |
Number Of Beneficiaries Age Greater 84 |
121 |
Number Of Female Beneficiaries |
410 |
Number Of Male Beneficiaries |
352 |
Number Of Non Hispanic White Beneficiaries |
684 |
Number Of Black or African American Beneficiaries |
52 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
14 |
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
701 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
61 |
Percent Of With Atrial Fibrillation |
22 |
Percent Of With Alzheimers Disease or Dementia |
9 |
Percent Of With Asthma |
19 |
Percent Of With Cancer |
20 |
Percent Of With Heart Failure |
33 |
Percent Of With Chronic Kidney Disease |
33 |
Percent Of With Chronic Obstructive Pulmonary Disease |
46 |
Percent Of With Depression |
22 |
Percent Of With Diabetes |
31 |
Percent Of With Hyperlipidemia |
69 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
63 |
Percent Of With Osteoporosis |
9 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
42 |
Percent Of With Schizophrenia Other PsychoticDisorders |
4 |
Percent Of With Stroke |
7 |
Average HCC Risk Score Of Beneficiaries |
1.5831 |