National Provider Identifier [NPI]: |
1104872167 |
Last Name Of The Provider |
SCHUTZ |
First Name Of The Provider |
MICHAEL |
Middle Initial Of The Provider |
J |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
403 BETHEL RD |
Street Address 2 Of The Provider |
|
City Of The Provider |
SOMERS POINT |
Zip Code Of The Provider |
082442188 |
State Code Of The Provider |
NJ |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Urology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
87 |
Number Of Services |
3397 |
Number Of Medicare Beneficiaries |
1168 |
Total Submitted Charge Amount |
4375929 |
Total Medicare Allowed Amount |
351767.55 |
Total Medicare Payment Amount |
257521.32 |
Total Medicare Standardized Payment Amount |
243970.74 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
5 |
Number Of Drug Services |
275 |
Number Of Medicare Beneficiaries With Drug Services |
87 |
Total Drug Submitted ChargeAmount |
65484 |
Total Drug Medicare AllowedAmount |
43513.82 |
Total Drug Medicare PaymentAmount |
31236.3 |
Total Drug Medicare Standardized Payment Amount |
31236.3 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
82 |
Number Of Medical Services |
3122 |
Number Of Medicare Beneficiaries With Medical Services |
1168 |
Total Medical Submitted Charge Amount |
4310445 |
Total Medical Medicare Allowed Amount |
308253.73 |
Total Medical Medicare Payment Amount |
226285.02 |
Total Medical Medicare Standardized Payment Amount |
212734.44 |
Average Age Of Beneficiaries |
75 |
Number Of Beneficiaries Age Less65 |
76 |
Number Of Beneficiaries Age 65 to 74 |
532 |
Number Of Beneficiaries Age 75 to 84 |
367 |
Number Of Beneficiaries Age Greater 84 |
193 |
Number Of Female Beneficiaries |
268 |
Number Of Male Beneficiaries |
900 |
Number Of Non Hispanic White Beneficiaries |
984 |
Number Of Black or African American Beneficiaries |
111 |
Number Of AsianPacific Islander Beneficiaries |
12 |
Number Of Hispanic Beneficiaries |
47 |
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
14 |
Number Of Beneficiaries With Medicare Only Entitlement |
1079 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
89 |
Percent Of With Atrial Fibrillation |
19 |
Percent Of With Alzheimers Disease or Dementia |
12 |
Percent Of With Asthma |
7 |
Percent Of With Cancer |
23 |
Percent Of With Heart Failure |
32 |
Percent Of With Chronic Kidney Disease |
36 |
Percent Of With Chronic Obstructive Pulmonary Disease |
19 |
Percent Of With Depression |
12 |
Percent Of With Diabetes |
45 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
52 |
Percent Of With Osteoporosis |
4 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
38 |
Percent Of With Schizophrenia Other PsychoticDisorders |
2 |
Percent Of With Stroke |
7 |
Average HCC Risk Score Of Beneficiaries |
1.478 |