National Provider Identifier [NPI]: |
1235100439 |
Last Name Of The Provider |
SCHREIBER |
First Name Of The Provider |
FRED |
Middle Initial Of The Provider |
J |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1730 LAKELAND HILLS BLVD |
Street Address 2 Of The Provider |
|
City Of The Provider |
LAKELAND |
Zip Code Of The Provider |
33805 |
State Code Of The Provider |
FL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Hematology/Oncology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
124 |
Number Of Services |
136791 |
Number Of Medicare Beneficiaries |
784 |
Total Submitted Charge Amount |
4532132 |
Total Medicare Allowed Amount |
2068635.9 |
Total Medicare Payment Amount |
1610554.11 |
Total Medicare Standardized Payment Amount |
1610703.63 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
76 |
Number Of Drug Services |
131218 |
Number Of Medicare Beneficiaries With Drug Services |
313 |
Total Drug Submitted ChargeAmount |
3782063 |
Total Drug Medicare AllowedAmount |
1708203.43 |
Total Drug Medicare PaymentAmount |
1335823.03 |
Total Drug Medicare Standardized Payment Amount |
1335823.03 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
48 |
Number Of Medical Services |
5573 |
Number Of Medicare Beneficiaries With Medical Services |
775 |
Total Medical Submitted Charge Amount |
750069 |
Total Medical Medicare Allowed Amount |
360432.47 |
Total Medical Medicare Payment Amount |
274731.08 |
Total Medical Medicare Standardized Payment Amount |
274880.6 |
Average Age Of Beneficiaries |
75 |
Number Of Beneficiaries Age Less65 |
43 |
Number Of Beneficiaries Age 65 to 74 |
324 |
Number Of Beneficiaries Age 75 to 84 |
306 |
Number Of Beneficiaries Age Greater 84 |
111 |
Number Of Female Beneficiaries |
505 |
Number Of Male Beneficiaries |
279 |
Number Of Non Hispanic White Beneficiaries |
727 |
Number Of Black or African American Beneficiaries |
39 |
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 |
733 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
51 |
Percent Of With Atrial Fibrillation |
15 |
Percent Of With Alzheimers Disease or Dementia |
6 |
Percent Of With Asthma |
8 |
Percent Of With Cancer |
50 |
Percent Of With Heart Failure |
19 |
Percent Of With Chronic Kidney Disease |
34 |
Percent Of With Chronic Obstructive Pulmonary Disease |
17 |
Percent Of With Depression |
14 |
Percent Of With Diabetes |
40 |
Percent Of With Hyperlipidemia |
64 |
Percent Of With Hypertension |
74 |
Percent Of With Ischemic Heart Disease |
44 |
Percent Of With Osteoporosis |
10 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
32 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
3 |
Average HCC Risk Score Of Beneficiaries |
1.8119 |