National Provider Identifier [NPI]: |
1598732265 |
Last Name Of The Provider |
SCHROEDER |
First Name Of The Provider |
ROBERT |
Middle Initial Of The Provider |
P |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
9933 LAWLER AVE |
Street Address 2 Of The Provider |
209 |
City Of The Provider |
SKOKIE |
Zip Code Of The Provider |
600773703 |
State Code Of The Provider |
IL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Ophthalmology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
36 |
Number Of Services |
16057 |
Number Of Medicare Beneficiaries |
1546 |
Total Submitted Charge Amount |
5662343 |
Total Medicare Allowed Amount |
2130291.6 |
Total Medicare Payment Amount |
1631786.91 |
Total Medicare Standardized Payment Amount |
1575842.97 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
7 |
Number Of Drug Services |
2485 |
Number Of Medicare Beneficiaries With Drug Services |
276 |
Total Drug Submitted ChargeAmount |
1657046 |
Total Drug Medicare AllowedAmount |
831753.78 |
Total Drug Medicare PaymentAmount |
651827.21 |
Total Drug Medicare Standardized Payment Amount |
651827.21 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
29 |
Number Of Medical Services |
13572 |
Number Of Medicare Beneficiaries With Medical Services |
1546 |
Total Medical Submitted Charge Amount |
4005297 |
Total Medical Medicare Allowed Amount |
1298537.82 |
Total Medical Medicare Payment Amount |
979959.7 |
Total Medical Medicare Standardized Payment Amount |
924015.76 |
Average Age Of Beneficiaries |
78 |
Number Of Beneficiaries Age Less65 |
40 |
Number Of Beneficiaries Age 65 to 74 |
520 |
Number Of Beneficiaries Age 75 to 84 |
570 |
Number Of Beneficiaries Age Greater 84 |
416 |
Number Of Female Beneficiaries |
921 |
Number Of Male Beneficiaries |
625 |
Number Of Non Hispanic White Beneficiaries |
1459 |
Number Of Black or African American Beneficiaries |
11 |
Number Of AsianPacific Islander Beneficiaries |
33 |
Number Of Hispanic Beneficiaries |
31 |
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
12 |
Number Of Beneficiaries With Medicare Only Entitlement |
1487 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
59 |
Percent Of With Atrial Fibrillation |
13 |
Percent Of With Alzheimers Disease or Dementia |
8 |
Percent Of With Asthma |
4 |
Percent Of With Cancer |
12 |
Percent Of With Heart Failure |
18 |
Percent Of With Chronic Kidney Disease |
21 |
Percent Of With Chronic Obstructive Pulmonary Disease |
10 |
Percent Of With Depression |
12 |
Percent Of With Diabetes |
30 |
Percent Of With Hyperlipidemia |
56 |
Percent Of With Hypertension |
65 |
Percent Of With Ischemic Heart Disease |
34 |
Percent Of With Osteoporosis |
9 |
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 |
1.2644 |