National Provider Identifier [NPI]: |
1912002999 |
Last Name Of The Provider |
SCHUMACHER |
First Name Of The Provider |
RANDOLPH |
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 |
2700 ROBERT T LONGWAY BLVD |
Street Address 2 Of The Provider |
SUITE A |
City Of The Provider |
FLINT |
Zip Code Of The Provider |
485032190 |
State Code Of The Provider |
MI |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Internal Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
72 |
Number Of Services |
4536 |
Number Of Medicare Beneficiaries |
944 |
Total Submitted Charge Amount |
434138 |
Total Medicare Allowed Amount |
313219.31 |
Total Medicare Payment Amount |
239215.18 |
Total Medicare Standardized Payment Amount |
244019.45 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
7 |
Number Of Drug Services |
253 |
Number Of Medicare Beneficiaries With Drug Services |
134 |
Total Drug Submitted ChargeAmount |
5290 |
Total Drug Medicare AllowedAmount |
3309.85 |
Total Drug Medicare PaymentAmount |
3012.05 |
Total Drug Medicare Standardized Payment Amount |
3012.05 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
65 |
Number Of Medical Services |
4283 |
Number Of Medicare Beneficiaries With Medical Services |
944 |
Total Medical Submitted Charge Amount |
428848 |
Total Medical Medicare Allowed Amount |
309909.46 |
Total Medical Medicare Payment Amount |
236203.13 |
Total Medical Medicare Standardized Payment Amount |
241007.4 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
218 |
Number Of Beneficiaries Age 65 to 74 |
192 |
Number Of Beneficiaries Age 75 to 84 |
246 |
Number Of Beneficiaries Age Greater 84 |
288 |
Number Of Female Beneficiaries |
572 |
Number Of Male Beneficiaries |
372 |
Number Of Non Hispanic White Beneficiaries |
676 |
Number Of Black or African American Beneficiaries |
248 |
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 |
520 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
424 |
Percent Of With Atrial Fibrillation |
15 |
Percent Of With Alzheimers Disease or Dementia |
56 |
Percent Of With Asthma |
16 |
Percent Of With Cancer |
8 |
Percent Of With Heart Failure |
47 |
Percent Of With Chronic Kidney Disease |
39 |
Percent Of With Chronic Obstructive Pulmonary Disease |
32 |
Percent Of With Depression |
51 |
Percent Of With Diabetes |
42 |
Percent Of With Hyperlipidemia |
44 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
53 |
Percent Of With Osteoporosis |
10 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
67 |
Percent Of With Schizophrenia Other PsychoticDisorders |
26 |
Percent Of With Stroke |
15 |
Average HCC Risk Score Of Beneficiaries |
2.1404 |