National Provider Identifier [NPI]: |
1841267739 |
Last Name Of The Provider |
REINSCHMIDT |
First Name Of The Provider |
JAMIE |
Middle Initial Of The Provider |
L |
Credentials Of The Provider |
MD |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
2831 N SNELLING AVE - MAIL STOP 39601A |
Street Address 2 Of The Provider |
NORTH SURBURBAN FAMILY PHYSICIANS - ROSEVILLE |
City Of The Provider |
ROSEVILLE |
Zip Code Of The Provider |
551132460 |
State Code Of The Provider |
MN |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Family Practice |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
43 |
Number Of Services |
380 |
Number Of Medicare Beneficiaries |
75 |
Total Submitted Charge Amount |
46878 |
Total Medicare Allowed Amount |
17068.56 |
Total Medicare Payment Amount |
11652.19 |
Total Medicare Standardized Payment Amount |
11913.99 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
7 |
Number Of Drug Services |
36 |
Number Of Medicare Beneficiaries With Drug Services |
24 |
Total Drug Submitted ChargeAmount |
463 |
Total Drug Medicare AllowedAmount |
347.41 |
Total Drug Medicare PaymentAmount |
330.37 |
Total Drug Medicare Standardized Payment Amount |
330.37 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
36 |
Number Of Medical Services |
344 |
Number Of Medicare Beneficiaries With Medical Services |
75 |
Total Medical Submitted Charge Amount |
46415 |
Total Medical Medicare Allowed Amount |
16721.15 |
Total Medical Medicare Payment Amount |
11321.82 |
Total Medical Medicare Standardized Payment Amount |
11583.62 |
Average Age Of Beneficiaries |
71 |
Number Of Beneficiaries Age Less65 |
18 |
Number Of Beneficiaries Age 65 to 74 |
23 |
Number Of Beneficiaries Age 75 to 84 |
19 |
Number Of Beneficiaries Age Greater 84 |
15 |
Number Of Female Beneficiaries |
64 |
Number Of Male Beneficiaries |
11 |
Number Of Non Hispanic White Beneficiaries |
|
Number Of Black or African American Beneficiaries |
|
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 |
62 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
13 |
Percent Of With Atrial Fibrillation |
15 |
Percent Of With Alzheimers Disease or Dementia |
|
Percent Of With Asthma |
|
Percent Of With Cancer |
|
Percent Of With Heart Failure |
|
Percent Of With Chronic Kidney Disease |
25 |
Percent Of With Chronic Obstructive Pulmonary Disease |
|
Percent Of With Depression |
|
Percent Of With Diabetes |
19 |
Percent Of With Hyperlipidemia |
39 |
Percent Of With Hypertension |
43 |
Percent Of With Ischemic Heart Disease |
17 |
Percent Of With Osteoporosis |
|
Percent Of With Rheumatoid Arthritis Osteoarthritis |
37 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
0 |
Average HCC Risk Score Of Beneficiaries |
0.936 |