National Provider Identifier [NPI]: |
1194724377 |
Last Name Of The Provider |
SCHULTE |
First Name Of The Provider |
ERIC |
Middle Initial Of The Provider |
F |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
7863 BROADWAY |
Street Address 2 Of The Provider |
SUITE 140 |
City Of The Provider |
MERRILLVILLE |
Zip Code Of The Provider |
464105553 |
State Code Of The Provider |
IN |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Cardiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
48 |
Number Of Services |
4874 |
Number Of Medicare Beneficiaries |
1254 |
Total Submitted Charge Amount |
674925 |
Total Medicare Allowed Amount |
295787.11 |
Total Medicare Payment Amount |
224296.43 |
Total Medicare Standardized Payment Amount |
234152.76 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
4 |
Number Of Drug Services |
111 |
Number Of Medicare Beneficiaries With Drug Services |
108 |
Total Drug Submitted ChargeAmount |
4808 |
Total Drug Medicare AllowedAmount |
1877.11 |
Total Drug Medicare PaymentAmount |
1838.29 |
Total Drug Medicare Standardized Payment Amount |
1838.29 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
44 |
Number Of Medical Services |
4763 |
Number Of Medicare Beneficiaries With Medical Services |
1254 |
Total Medical Submitted Charge Amount |
670117 |
Total Medical Medicare Allowed Amount |
293910 |
Total Medical Medicare Payment Amount |
222458.14 |
Total Medical Medicare Standardized Payment Amount |
232314.47 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
157 |
Number Of Beneficiaries Age 65 to 74 |
464 |
Number Of Beneficiaries Age 75 to 84 |
408 |
Number Of Beneficiaries Age Greater 84 |
225 |
Number Of Female Beneficiaries |
678 |
Number Of Male Beneficiaries |
576 |
Number Of Non Hispanic White Beneficiaries |
1037 |
Number Of Black or African American Beneficiaries |
112 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
90 |
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
1040 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
214 |
Percent Of With Atrial Fibrillation |
28 |
Percent Of With Alzheimers Disease or Dementia |
19 |
Percent Of With Asthma |
13 |
Percent Of With Cancer |
14 |
Percent Of With Heart Failure |
44 |
Percent Of With Chronic Kidney Disease |
42 |
Percent Of With Chronic Obstructive Pulmonary Disease |
38 |
Percent Of With Depression |
24 |
Percent Of With Diabetes |
44 |
Percent Of With Hyperlipidemia |
70 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
64 |
Percent Of With Osteoporosis |
10 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
47 |
Percent Of With Schizophrenia Other PsychoticDisorders |
8 |
Percent Of With Stroke |
13 |
Average HCC Risk Score Of Beneficiaries |
1.9322 |