National Provider Identifier [NPI]: |
1306886379 |
Last Name Of The Provider |
SCHWAB |
First Name Of The Provider |
THOMAS |
Middle Initial Of The Provider |
O |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
430 MORTON PLANT ST |
Street Address 2 Of The Provider |
SUITE 301 |
City Of The Provider |
CLEARWATER |
Zip Code Of The Provider |
337563395 |
State Code Of The Provider |
FL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Orthopedic Surgery |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
71 |
Number Of Services |
5042 |
Number Of Medicare Beneficiaries |
712 |
Total Submitted Charge Amount |
806013 |
Total Medicare Allowed Amount |
328077.54 |
Total Medicare Payment Amount |
246515.93 |
Total Medicare Standardized Payment Amount |
241210.94 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
5 |
Number Of Drug Services |
1340 |
Number Of Medicare Beneficiaries With Drug Services |
444 |
Total Drug Submitted ChargeAmount |
125442 |
Total Drug Medicare AllowedAmount |
76966.06 |
Total Drug Medicare PaymentAmount |
59058.83 |
Total Drug Medicare Standardized Payment Amount |
59058.83 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
66 |
Number Of Medical Services |
3702 |
Number Of Medicare Beneficiaries With Medical Services |
712 |
Total Medical Submitted Charge Amount |
680571 |
Total Medical Medicare Allowed Amount |
251111.48 |
Total Medical Medicare Payment Amount |
187457.1 |
Total Medical Medicare Standardized Payment Amount |
182152.11 |
Average Age Of Beneficiaries |
76 |
Number Of Beneficiaries Age Less65 |
36 |
Number Of Beneficiaries Age 65 to 74 |
286 |
Number Of Beneficiaries Age 75 to 84 |
256 |
Number Of Beneficiaries Age Greater 84 |
134 |
Number Of Female Beneficiaries |
455 |
Number Of Male Beneficiaries |
257 |
Number Of Non Hispanic White Beneficiaries |
681 |
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 |
679 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
33 |
Percent Of With Atrial Fibrillation |
13 |
Percent Of With Alzheimers Disease or Dementia |
6 |
Percent Of With Asthma |
9 |
Percent Of With Cancer |
12 |
Percent Of With Heart Failure |
14 |
Percent Of With Chronic Kidney Disease |
19 |
Percent Of With Chronic Obstructive Pulmonary Disease |
13 |
Percent Of With Depression |
19 |
Percent Of With Diabetes |
28 |
Percent Of With Hyperlipidemia |
73 |
Percent Of With Hypertension |
71 |
Percent Of With Ischemic Heart Disease |
42 |
Percent Of With Osteoporosis |
13 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
72 |
Percent Of With Schizophrenia Other PsychoticDisorders |
2 |
Percent Of With Stroke |
4 |
Average HCC Risk Score Of Beneficiaries |
1.1138 |