National Provider Identifier [NPI]: |
1639165541 |
Last Name Of The Provider |
SCHULMAN |
First Name Of The Provider |
PAUL |
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 |
315 MIDDLE COUNTRY RD |
Street Address 2 Of The Provider |
|
City Of The Provider |
SMITHTOWN |
Zip Code Of The Provider |
117872817 |
State Code Of The Provider |
NY |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Rheumatology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
109 |
Number Of Services |
72925 |
Number Of Medicare Beneficiaries |
793 |
Total Submitted Charge Amount |
2086972 |
Total Medicare Allowed Amount |
1374571.65 |
Total Medicare Payment Amount |
1068581.82 |
Total Medicare Standardized Payment Amount |
1020207.02 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
20 |
Number Of Drug Services |
65463 |
Number Of Medicare Beneficiaries With Drug Services |
256 |
Total Drug Submitted ChargeAmount |
1406648 |
Total Drug Medicare AllowedAmount |
1014219.72 |
Total Drug Medicare PaymentAmount |
793885.47 |
Total Drug Medicare Standardized Payment Amount |
793885.47 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
89 |
Number Of Medical Services |
7462 |
Number Of Medicare Beneficiaries With Medical Services |
793 |
Total Medical Submitted Charge Amount |
680324 |
Total Medical Medicare Allowed Amount |
360351.93 |
Total Medical Medicare Payment Amount |
274696.35 |
Total Medical Medicare Standardized Payment Amount |
226321.55 |
Average Age Of Beneficiaries |
72 |
Number Of Beneficiaries Age Less65 |
140 |
Number Of Beneficiaries Age 65 to 74 |
324 |
Number Of Beneficiaries Age 75 to 84 |
247 |
Number Of Beneficiaries Age Greater 84 |
82 |
Number Of Female Beneficiaries |
582 |
Number Of Male Beneficiaries |
211 |
Number Of Non Hispanic White Beneficiaries |
736 |
Number Of Black or African American Beneficiaries |
16 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
30 |
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
701 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
92 |
Percent Of With Atrial Fibrillation |
12 |
Percent Of With Alzheimers Disease or Dementia |
7 |
Percent Of With Asthma |
12 |
Percent Of With Cancer |
12 |
Percent Of With Heart Failure |
16 |
Percent Of With Chronic Kidney Disease |
17 |
Percent Of With Chronic Obstructive Pulmonary Disease |
16 |
Percent Of With Depression |
19 |
Percent Of With Diabetes |
35 |
Percent Of With Hyperlipidemia |
64 |
Percent Of With Hypertension |
71 |
Percent Of With Ischemic Heart Disease |
43 |
Percent Of With Osteoporosis |
25 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
75 |
Percent Of With Schizophrenia Other PsychoticDisorders |
2 |
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
1.299 |