National Provider Identifier [NPI]: |
1841239365 |
Last Name Of The Provider |
SCHNEIDER |
First Name Of The Provider |
ELIZABETH |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
MD |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
200 OSAGE AVE. |
Street Address 2 Of The Provider |
|
City Of The Provider |
LOS ALTOS |
Zip Code Of The Provider |
94022 |
State Code Of The Provider |
CA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Diagnostic Radiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
107 |
Number Of Services |
5748 |
Number Of Medicare Beneficiaries |
1700 |
Total Submitted Charge Amount |
813322 |
Total Medicare Allowed Amount |
296127.95 |
Total Medicare Payment Amount |
255037.55 |
Total Medicare Standardized Payment Amount |
199637.22 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
2767 |
Number Of Medicare Beneficiaries With Drug Services |
36 |
Total Drug Submitted ChargeAmount |
3447 |
Total Drug Medicare AllowedAmount |
828.18 |
Total Drug Medicare PaymentAmount |
624.1 |
Total Drug Medicare Standardized Payment Amount |
624.1 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
105 |
Number Of Medical Services |
2981 |
Number Of Medicare Beneficiaries With Medical Services |
1700 |
Total Medical Submitted Charge Amount |
809875 |
Total Medical Medicare Allowed Amount |
295299.77 |
Total Medical Medicare Payment Amount |
254413.45 |
Total Medical Medicare Standardized Payment Amount |
199013.12 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
99 |
Number Of Beneficiaries Age 65 to 74 |
921 |
Number Of Beneficiaries Age 75 to 84 |
533 |
Number Of Beneficiaries Age Greater 84 |
147 |
Number Of Female Beneficiaries |
1405 |
Number Of Male Beneficiaries |
295 |
Number Of Non Hispanic White Beneficiaries |
825 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
629 |
Number Of Hispanic Beneficiaries |
165 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
59 |
Number Of Beneficiaries With Medicare Only Entitlement |
1116 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
584 |
Percent Of With Atrial Fibrillation |
7 |
Percent Of With Alzheimers Disease or Dementia |
6 |
Percent Of With Asthma |
6 |
Percent Of With Cancer |
11 |
Percent Of With Heart Failure |
11 |
Percent Of With Chronic Kidney Disease |
15 |
Percent Of With Chronic Obstructive Pulmonary Disease |
6 |
Percent Of With Depression |
10 |
Percent Of With Diabetes |
31 |
Percent Of With Hyperlipidemia |
64 |
Percent Of With Hypertension |
63 |
Percent Of With Ischemic Heart Disease |
22 |
Percent Of With Osteoporosis |
18 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
31 |
Percent Of With Schizophrenia Other PsychoticDisorders |
1 |
Percent Of With Stroke |
2 |
Average HCC Risk Score Of Beneficiaries |
0.9103 |