National Provider Identifier [NPI]: |
1578575403 |
Last Name Of The Provider |
SCHONROCK |
First Name Of The Provider |
KRISTA |
Middle Initial Of The Provider |
M |
Credentials Of The Provider |
MD |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
5770 S 250 E |
Street Address 2 Of The Provider |
#335 |
City Of The Provider |
MURRAY |
Zip Code Of The Provider |
841078100 |
State Code Of The Provider |
UT |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Internal Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
53 |
Number Of Services |
2321 |
Number Of Medicare Beneficiaries |
432 |
Total Submitted Charge Amount |
161378 |
Total Medicare Allowed Amount |
113141.15 |
Total Medicare Payment Amount |
79817.12 |
Total Medicare Standardized Payment Amount |
84470.71 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
14 |
Number Of Drug Services |
493 |
Number Of Medicare Beneficiaries With Drug Services |
190 |
Total Drug Submitted ChargeAmount |
9024 |
Total Drug Medicare AllowedAmount |
5896.85 |
Total Drug Medicare PaymentAmount |
5388.08 |
Total Drug Medicare Standardized Payment Amount |
5388.08 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
39 |
Number Of Medical Services |
1828 |
Number Of Medicare Beneficiaries With Medical Services |
432 |
Total Medical Submitted Charge Amount |
152354 |
Total Medical Medicare Allowed Amount |
107244.3 |
Total Medical Medicare Payment Amount |
74429.04 |
Total Medical Medicare Standardized Payment Amount |
79082.63 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
34 |
Number Of Beneficiaries Age 65 to 74 |
185 |
Number Of Beneficiaries Age 75 to 84 |
146 |
Number Of Beneficiaries Age Greater 84 |
67 |
Number Of Female Beneficiaries |
332 |
Number Of Male Beneficiaries |
100 |
Number Of Non Hispanic White Beneficiaries |
406 |
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 |
394 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
38 |
Percent Of With Atrial Fibrillation |
15 |
Percent Of With Alzheimers Disease or Dementia |
9 |
Percent Of With Asthma |
8 |
Percent Of With Cancer |
9 |
Percent Of With Heart Failure |
14 |
Percent Of With Chronic Kidney Disease |
21 |
Percent Of With Chronic Obstructive Pulmonary Disease |
6 |
Percent Of With Depression |
22 |
Percent Of With Diabetes |
31 |
Percent Of With Hyperlipidemia |
33 |
Percent Of With Hypertension |
60 |
Percent Of With Ischemic Heart Disease |
26 |
Percent Of With Osteoporosis |
7 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
38 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
3 |
Average HCC Risk Score Of Beneficiaries |
1.1711 |