National Provider Identifier [NPI]: |
1447205661 |
Last Name Of The Provider |
SCHRAMM |
First Name Of The Provider |
CHARLES |
Middle Initial Of The Provider |
S |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
993 F JOHNSON FERRY RD |
Street Address 2 Of The Provider |
SUITE 210 |
City Of The Provider |
ATLANTA |
Zip Code Of The Provider |
303421620 |
State Code Of The Provider |
GA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Family Practice |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
95 |
Number Of Services |
2450 |
Number Of Medicare Beneficiaries |
289 |
Total Submitted Charge Amount |
116615.64 |
Total Medicare Allowed Amount |
113241.16 |
Total Medicare Payment Amount |
80488.91 |
Total Medicare Standardized Payment Amount |
81001.91 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
14 |
Number Of Drug Services |
848 |
Number Of Medicare Beneficiaries With Drug Services |
100 |
Total Drug Submitted ChargeAmount |
11666.63 |
Total Drug Medicare AllowedAmount |
10983.39 |
Total Drug Medicare PaymentAmount |
9416.27 |
Total Drug Medicare Standardized Payment Amount |
9416.27 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
81 |
Number Of Medical Services |
1602 |
Number Of Medicare Beneficiaries With Medical Services |
289 |
Total Medical Submitted Charge Amount |
104949.01 |
Total Medical Medicare Allowed Amount |
102257.77 |
Total Medical Medicare Payment Amount |
71072.64 |
Total Medical Medicare Standardized Payment Amount |
71585.64 |
Average Age Of Beneficiaries |
72 |
Number Of Beneficiaries Age Less65 |
25 |
Number Of Beneficiaries Age 65 to 74 |
158 |
Number Of Beneficiaries Age 75 to 84 |
69 |
Number Of Beneficiaries Age Greater 84 |
37 |
Number Of Female Beneficiaries |
150 |
Number Of Male Beneficiaries |
139 |
Number Of Non Hispanic White Beneficiaries |
261 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
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 |
276 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
13 |
Percent Of With Atrial Fibrillation |
7 |
Percent Of With Alzheimers Disease or Dementia |
8 |
Percent Of With Asthma |
|
Percent Of With Cancer |
6 |
Percent Of With Heart Failure |
7 |
Percent Of With Chronic Kidney Disease |
12 |
Percent Of With Chronic Obstructive Pulmonary Disease |
7 |
Percent Of With Depression |
16 |
Percent Of With Diabetes |
20 |
Percent Of With Hyperlipidemia |
42 |
Percent Of With Hypertension |
52 |
Percent Of With Ischemic Heart Disease |
23 |
Percent Of With Osteoporosis |
|
Percent Of With Rheumatoid Arthritis Osteoarthritis |
27 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
4 |
Average HCC Risk Score Of Beneficiaries |
0.8475 |