National Provider Identifier [NPI]: |
1588612451 |
Last Name Of The Provider |
SCHUSSLER |
First Name Of The Provider |
JEFFREY |
Middle Initial Of The Provider |
M |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
621 N HALL ST |
Street Address 2 Of The Provider |
SUITE 400 |
City Of The Provider |
DALLAS |
Zip Code Of The Provider |
752261339 |
State Code Of The Provider |
TX |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Cardiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
84 |
Number Of Services |
3677 |
Number Of Medicare Beneficiaries |
1593 |
Total Submitted Charge Amount |
908044 |
Total Medicare Allowed Amount |
377447.16 |
Total Medicare Payment Amount |
280885.45 |
Total Medicare Standardized Payment Amount |
286220.14 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
206 |
Number Of Medicare Beneficiaries With Drug Services |
52 |
Total Drug Submitted ChargeAmount |
19600 |
Total Drug Medicare AllowedAmount |
10898.96 |
Total Drug Medicare PaymentAmount |
8095.66 |
Total Drug Medicare Standardized Payment Amount |
8095.66 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
82 |
Number Of Medical Services |
3471 |
Number Of Medicare Beneficiaries With Medical Services |
1593 |
Total Medical Submitted Charge Amount |
888444 |
Total Medical Medicare Allowed Amount |
366548.2 |
Total Medical Medicare Payment Amount |
272789.79 |
Total Medical Medicare Standardized Payment Amount |
278124.48 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
216 |
Number Of Beneficiaries Age 65 to 74 |
629 |
Number Of Beneficiaries Age 75 to 84 |
517 |
Number Of Beneficiaries Age Greater 84 |
231 |
Number Of Female Beneficiaries |
792 |
Number Of Male Beneficiaries |
801 |
Number Of Non Hispanic White Beneficiaries |
1199 |
Number Of Black or African American Beneficiaries |
295 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
77 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
1310 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
283 |
Percent Of With Atrial Fibrillation |
25 |
Percent Of With Alzheimers Disease or Dementia |
16 |
Percent Of With Asthma |
9 |
Percent Of With Cancer |
12 |
Percent Of With Heart Failure |
42 |
Percent Of With Chronic Kidney Disease |
38 |
Percent Of With Chronic Obstructive Pulmonary Disease |
22 |
Percent Of With Depression |
26 |
Percent Of With Diabetes |
41 |
Percent Of With Hyperlipidemia |
73 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
66 |
Percent Of With Osteoporosis |
8 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
41 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
10 |
Average HCC Risk Score Of Beneficiaries |
1.7596 |