National Provider Identifier [NPI]: |
1629068226 |
Last Name Of The Provider |
SCHMIDT |
First Name Of The Provider |
LEROY |
Middle Initial Of The Provider |
M |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
6565 N CHARLES ST |
Street Address 2 Of The Provider |
SUITE 606 |
City Of The Provider |
BALTIMORE |
Zip Code Of The Provider |
212046800 |
State Code Of The Provider |
MD |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Orthopedic Surgery |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
41 |
Number Of Services |
8441 |
Number Of Medicare Beneficiaries |
746 |
Total Submitted Charge Amount |
984714 |
Total Medicare Allowed Amount |
490095.64 |
Total Medicare Payment Amount |
376010.21 |
Total Medicare Standardized Payment Amount |
343967.31 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
6 |
Number Of Drug Services |
4851 |
Number Of Medicare Beneficiaries With Drug Services |
458 |
Total Drug Submitted ChargeAmount |
96379.8 |
Total Drug Medicare AllowedAmount |
69377.91 |
Total Drug Medicare PaymentAmount |
52986.74 |
Total Drug Medicare Standardized Payment Amount |
52986.74 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
35 |
Number Of Medical Services |
3590 |
Number Of Medicare Beneficiaries With Medical Services |
746 |
Total Medical Submitted Charge Amount |
888334.2 |
Total Medical Medicare Allowed Amount |
420717.73 |
Total Medical Medicare Payment Amount |
323023.47 |
Total Medical Medicare Standardized Payment Amount |
290980.57 |
Average Age Of Beneficiaries |
75 |
Number Of Beneficiaries Age Less65 |
25 |
Number Of Beneficiaries Age 65 to 74 |
353 |
Number Of Beneficiaries Age 75 to 84 |
271 |
Number Of Beneficiaries Age Greater 84 |
97 |
Number Of Female Beneficiaries |
503 |
Number Of Male Beneficiaries |
243 |
Number Of Non Hispanic White Beneficiaries |
682 |
Number Of Black or African American Beneficiaries |
46 |
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 |
732 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
14 |
Percent Of With Atrial Fibrillation |
10 |
Percent Of With Alzheimers Disease or Dementia |
4 |
Percent Of With Asthma |
8 |
Percent Of With Cancer |
10 |
Percent Of With Heart Failure |
8 |
Percent Of With Chronic Kidney Disease |
13 |
Percent Of With Chronic Obstructive Pulmonary Disease |
6 |
Percent Of With Depression |
16 |
Percent Of With Diabetes |
22 |
Percent Of With Hyperlipidemia |
59 |
Percent Of With Hypertension |
71 |
Percent Of With Ischemic Heart Disease |
28 |
Percent Of With Osteoporosis |
9 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
75 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
2 |
Average HCC Risk Score Of Beneficiaries |
0.8754 |