National Provider Identifier [NPI]: |
1508851155 |
Last Name Of The Provider |
SCHULTE |
First Name Of The Provider |
MICHAEL |
Middle Initial Of The Provider |
E |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1200 6TH ST |
Street Address 2 Of The Provider |
|
City Of The Provider |
TRAVERSE CITY |
Zip Code Of The Provider |
496842369 |
State Code Of The Provider |
MI |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Cardiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
29 |
Number Of Services |
2544 |
Number Of Medicare Beneficiaries |
1285 |
Total Submitted Charge Amount |
224025 |
Total Medicare Allowed Amount |
111129.24 |
Total Medicare Payment Amount |
79214.96 |
Total Medicare Standardized Payment Amount |
81969.68 |
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 |
29 |
Number Of Medical Services |
2544 |
Number Of Medicare Beneficiaries With Medical Services |
1285 |
Total Medical Submitted Charge Amount |
224025 |
Total Medical Medicare Allowed Amount |
111129.24 |
Total Medical Medicare Payment Amount |
79214.96 |
Total Medical Medicare Standardized Payment Amount |
81969.68 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
141 |
Number Of Beneficiaries Age 65 to 74 |
498 |
Number Of Beneficiaries Age 75 to 84 |
476 |
Number Of Beneficiaries Age Greater 84 |
170 |
Number Of Female Beneficiaries |
529 |
Number Of Male Beneficiaries |
756 |
Number Of Non Hispanic White Beneficiaries |
1252 |
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 |
1080 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
205 |
Percent Of With Atrial Fibrillation |
27 |
Percent Of With Alzheimers Disease or Dementia |
8 |
Percent Of With Asthma |
7 |
Percent Of With Cancer |
12 |
Percent Of With Heart Failure |
30 |
Percent Of With Chronic Kidney Disease |
32 |
Percent Of With Chronic Obstructive Pulmonary Disease |
20 |
Percent Of With Depression |
20 |
Percent Of With Diabetes |
41 |
Percent Of With Hyperlipidemia |
69 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
72 |
Percent Of With Osteoporosis |
5 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
38 |
Percent Of With Schizophrenia Other PsychoticDisorders |
2 |
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
1.3739 |