National Provider Identifier [NPI]: |
1255336061 |
Last Name Of The Provider |
SCHENK |
First Name Of The Provider |
DAVID |
Middle Initial Of The Provider |
A |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
7950 FLOYD CURL DR |
Street Address 2 Of The Provider |
STE 620 |
City Of The Provider |
SAN ANTONIO |
Zip Code Of The Provider |
782293924 |
State Code Of The Provider |
TX |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Critical Care (Intensivists) |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
50 |
Number Of Services |
4041 |
Number Of Medicare Beneficiaries |
1176 |
Total Submitted Charge Amount |
783385 |
Total Medicare Allowed Amount |
578638.58 |
Total Medicare Payment Amount |
434892.68 |
Total Medicare Standardized Payment Amount |
470416.78 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
30 |
Number Of Medicare Beneficiaries With Drug Services |
26 |
Total Drug Submitted ChargeAmount |
1800 |
Total Drug Medicare AllowedAmount |
1129.68 |
Total Drug Medicare PaymentAmount |
1107.12 |
Total Drug Medicare Standardized Payment Amount |
1107.12 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
48 |
Number Of Medical Services |
4011 |
Number Of Medicare Beneficiaries With Medical Services |
1176 |
Total Medical Submitted Charge Amount |
781585 |
Total Medical Medicare Allowed Amount |
577508.9 |
Total Medical Medicare Payment Amount |
433785.56 |
Total Medical Medicare Standardized Payment Amount |
469309.66 |
Average Age Of Beneficiaries |
69 |
Number Of Beneficiaries Age Less65 |
243 |
Number Of Beneficiaries Age 65 to 74 |
548 |
Number Of Beneficiaries Age 75 to 84 |
287 |
Number Of Beneficiaries Age Greater 84 |
98 |
Number Of Female Beneficiaries |
579 |
Number Of Male Beneficiaries |
597 |
Number Of Non Hispanic White Beneficiaries |
744 |
Number Of Black or African American Beneficiaries |
69 |
Number Of AsianPacific Islander Beneficiaries |
21 |
Number Of Hispanic Beneficiaries |
327 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
932 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
244 |
Percent Of With Atrial Fibrillation |
18 |
Percent Of With Alzheimers Disease or Dementia |
14 |
Percent Of With Asthma |
16 |
Percent Of With Cancer |
11 |
Percent Of With Heart Failure |
35 |
Percent Of With Chronic Kidney Disease |
42 |
Percent Of With Chronic Obstructive Pulmonary Disease |
30 |
Percent Of With Depression |
31 |
Percent Of With Diabetes |
53 |
Percent Of With Hyperlipidemia |
67 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
52 |
Percent Of With Osteoporosis |
7 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
47 |
Percent Of With Schizophrenia Other PsychoticDisorders |
5 |
Percent Of With Stroke |
9 |
Average HCC Risk Score Of Beneficiaries |
2.0158 |