National Provider Identifier [NPI]: |
1447254321 |
Last Name Of The Provider |
SCHEATZLE |
First Name Of The Provider |
PAUL |
Middle Initial Of The Provider |
T |
Credentials Of The Provider |
DO |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
3300 BAILEY ST NW |
Street Address 2 Of The Provider |
STE 104 |
City Of The Provider |
MASSILLON |
Zip Code Of The Provider |
446463613 |
State Code Of The Provider |
OH |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Physical Medicine and Rehabilitation |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
31 |
Number Of Services |
3410 |
Number Of Medicare Beneficiaries |
643 |
Total Submitted Charge Amount |
311212.5 |
Total Medicare Allowed Amount |
213465.93 |
Total Medicare Payment Amount |
160823.72 |
Total Medicare Standardized Payment Amount |
164202.76 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
3 |
Number Of Drug Services |
228 |
Number Of Medicare Beneficiaries With Drug Services |
15 |
Total Drug Submitted ChargeAmount |
2297.5 |
Total Drug Medicare AllowedAmount |
1606.62 |
Total Drug Medicare PaymentAmount |
1244.87 |
Total Drug Medicare Standardized Payment Amount |
1244.87 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
28 |
Number Of Medical Services |
3182 |
Number Of Medicare Beneficiaries With Medical Services |
643 |
Total Medical Submitted Charge Amount |
308915 |
Total Medical Medicare Allowed Amount |
211859.31 |
Total Medical Medicare Payment Amount |
159578.85 |
Total Medical Medicare Standardized Payment Amount |
162957.89 |
Average Age Of Beneficiaries |
75 |
Number Of Beneficiaries Age Less65 |
108 |
Number Of Beneficiaries Age 65 to 74 |
180 |
Number Of Beneficiaries Age 75 to 84 |
179 |
Number Of Beneficiaries Age Greater 84 |
176 |
Number Of Female Beneficiaries |
366 |
Number Of Male Beneficiaries |
277 |
Number Of Non Hispanic White Beneficiaries |
564 |
Number Of Black or African American Beneficiaries |
60 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
434 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
209 |
Percent Of With Atrial Fibrillation |
28 |
Percent Of With Alzheimers Disease or Dementia |
34 |
Percent Of With Asthma |
15 |
Percent Of With Cancer |
15 |
Percent Of With Heart Failure |
49 |
Percent Of With Chronic Kidney Disease |
53 |
Percent Of With Chronic Obstructive Pulmonary Disease |
41 |
Percent Of With Depression |
52 |
Percent Of With Diabetes |
44 |
Percent Of With Hyperlipidemia |
70 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
55 |
Percent Of With Osteoporosis |
19 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
66 |
Percent Of With Schizophrenia Other PsychoticDisorders |
15 |
Percent Of With Stroke |
23 |
Average HCC Risk Score Of Beneficiaries |
2.2094 |