National Provider Identifier [NPI]: |
1841578382 |
Last Name Of The Provider |
SCHNEIDER |
First Name Of The Provider |
KATHY |
Middle Initial Of The Provider |
A |
Credentials Of The Provider |
NP-C, APRN |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
906 S WALL ST |
Street Address 2 Of The Provider |
|
City Of The Provider |
CALHOUN |
Zip Code Of The Provider |
307012620 |
State Code Of The Provider |
GA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Nurse Practitioner |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
52 |
Number Of Services |
702 |
Number Of Medicare Beneficiaries |
265 |
Total Submitted Charge Amount |
63096 |
Total Medicare Allowed Amount |
24676.11 |
Total Medicare Payment Amount |
17435.27 |
Total Medicare Standardized Payment Amount |
22066.31 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
11 |
Number Of Drug Services |
221 |
Number Of Medicare Beneficiaries With Drug Services |
113 |
Total Drug Submitted ChargeAmount |
2240 |
Total Drug Medicare AllowedAmount |
655.18 |
Total Drug Medicare PaymentAmount |
496.08 |
Total Drug Medicare Standardized Payment Amount |
496.08 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
41 |
Number Of Medical Services |
481 |
Number Of Medicare Beneficiaries With Medical Services |
265 |
Total Medical Submitted Charge Amount |
60856 |
Total Medical Medicare Allowed Amount |
24020.93 |
Total Medical Medicare Payment Amount |
16939.19 |
Total Medical Medicare Standardized Payment Amount |
21570.23 |
Average Age Of Beneficiaries |
69 |
Number Of Beneficiaries Age Less65 |
76 |
Number Of Beneficiaries Age 65 to 74 |
95 |
Number Of Beneficiaries Age 75 to 84 |
69 |
Number Of Beneficiaries Age Greater 84 |
25 |
Number Of Female Beneficiaries |
154 |
Number Of Male Beneficiaries |
111 |
Number Of Non Hispanic White Beneficiaries |
225 |
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 |
181 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
84 |
Percent Of With Atrial Fibrillation |
11 |
Percent Of With Alzheimers Disease or Dementia |
9 |
Percent Of With Asthma |
6 |
Percent Of With Cancer |
7 |
Percent Of With Heart Failure |
20 |
Percent Of With Chronic Kidney Disease |
26 |
Percent Of With Chronic Obstructive Pulmonary Disease |
25 |
Percent Of With Depression |
29 |
Percent Of With Diabetes |
33 |
Percent Of With Hyperlipidemia |
62 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
39 |
Percent Of With Osteoporosis |
5 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
40 |
Percent Of With Schizophrenia Other PsychoticDisorders |
7 |
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
1.2189 |