National Provider Identifier [NPI]: |
1417921594 |
Last Name Of The Provider |
SCHWAB |
First Name Of The Provider |
FREDERICK |
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 |
1701 N GEORGE MASON DR |
Street Address 2 Of The Provider |
|
City Of The Provider |
ARLINGTON |
Zip Code Of The Provider |
22205 |
State Code Of The Provider |
VA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Diagnostic Radiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
153 |
Number Of Services |
3541 |
Number Of Medicare Beneficiaries |
2512 |
Total Submitted Charge Amount |
527268.8 |
Total Medicare Allowed Amount |
120225.73 |
Total Medicare Payment Amount |
93714.39 |
Total Medicare Standardized Payment Amount |
86612.95 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
0 |
Number Of Drug Services |
0 |
Number Of Medicare Beneficiaries With Drug Services |
0 |
Total Drug Submitted ChargeAmount |
0 |
Total Drug Medicare AllowedAmount |
0 |
Total Drug Medicare PaymentAmount |
0 |
Total Drug Medicare Standardized Payment Amount |
0 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
153 |
Number Of Medical Services |
3541 |
Number Of Medicare Beneficiaries With Medical Services |
2512 |
Total Medical Submitted Charge Amount |
527268.8 |
Total Medical Medicare Allowed Amount |
120225.73 |
Total Medical Medicare Payment Amount |
93714.39 |
Total Medical Medicare Standardized Payment Amount |
86612.95 |
Average Age Of Beneficiaries |
76 |
Number Of Beneficiaries Age Less65 |
222 |
Number Of Beneficiaries Age 65 to 74 |
901 |
Number Of Beneficiaries Age 75 to 84 |
839 |
Number Of Beneficiaries Age Greater 84 |
550 |
Number Of Female Beneficiaries |
1459 |
Number Of Male Beneficiaries |
1053 |
Number Of Non Hispanic White Beneficiaries |
1774 |
Number Of Black or African American Beneficiaries |
322 |
Number Of AsianPacific Islander Beneficiaries |
139 |
Number Of Hispanic Beneficiaries |
217 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
2121 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
391 |
Percent Of With Atrial Fibrillation |
17 |
Percent Of With Alzheimers Disease or Dementia |
19 |
Percent Of With Asthma |
12 |
Percent Of With Cancer |
19 |
Percent Of With Heart Failure |
26 |
Percent Of With Chronic Kidney Disease |
35 |
Percent Of With Chronic Obstructive Pulmonary Disease |
20 |
Percent Of With Depression |
24 |
Percent Of With Diabetes |
35 |
Percent Of With Hyperlipidemia |
62 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
37 |
Percent Of With Osteoporosis |
10 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
45 |
Percent Of With Schizophrenia Other PsychoticDisorders |
5 |
Percent Of With Stroke |
11 |
Average HCC Risk Score Of Beneficiaries |
1.6518 |