Thomas Heischmidt

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NPI Number Detailed Information

Provider Information:

Name:	Thomas Heischmidt
Gender:	M
Provider License Number If Given:	36097905

NPI Information:

NPI:	1396720983
Entity Type (Individual or Organization):	1-ind
Enumeration Date:	12/7/2005
Last Update Date:	9/8/2020
Reputation Report:

Provider Business Mailing Address:

Address:	PO BOX 665 Effingham, IL 62401
Phone Number:	2173427000
Fax Number:

Provider Business Practice Location Address:

Address:	1106 N MERCHANT ST Effingham, IL 62401
Phone Number:	2173427000
Fax Number:

Provider Taxonomy:

Primary:	208000000X
Secondary (if any):	207R00000X
State:	IL

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About Thomas Heischmidt

Thomas Heischmidt ( THOMAS HEISCHMIDT ) is A Pediatrics Physician in Effingham, IL. The NPI Number for Thomas Heischmidt is 1396720983.

The current location address for Thomas Heischmidt is 1106 N MERCHANT ST Effingham, IL 62401 and the contact number is 2173427000 and fax number is . The mailing address for Thomas Heischmidt is PO BOX 665 Effingham, IL 62401- 2173427000 (mailing address contact number - 2173427000).

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Provider Business Location on Map

FAQs:

What is the NPI Number for Thomas Heischmidt ?

Answer: The NPI Number for Thomas Heischmidt is 1396720983

Where is Thomas Heischmidt located?

Answer: Thomas Heischmidt is located at 1106 N MERCHANT ST Effingham, IL 62401.

What is the specialty for Thomas Heischmidt ?

Answer: The Specialty of Thomas Heischmidt is A Pediatrics Physician.

Are there any online reviews for Thomas Heischmidt ?

Answer: Yes! Check It Now.

Are there any other health care providers in Effingham, IL?

Answer: Yes, there are given below...

Medicare Physician & Other Practitioners

Information on services and procedures provided to Original Medicare (fee-for-service) Part B (Medical Insurance) beneficiaries by Thomas Heischmidt

Number of HCPCS	16
Number of Medicare Beneficiaries	481
Number of Services	1785
Total Submitted Charge Amount	384782.94
Total Medicare Allowed Amount	112541.88
Total Medicare Payment Amount	88302.45
Total Medicare Standardized Payment Amount	86185.78
Drug Suppress Indicator
Number of HCPCS Associated With Drug Services	0
Number of Medicare Beneficiaries With Drug Services	0
Number of Drug Services	0
Total Drug Submitted Charge Amount	0
Total Drug Medicare Allowed Amount	0
Total Drug Medicare Payment Amount	0
Total Drug Medicare Standardized Payment Amount	0
Medical Suppress Indicator
Number of HCPCS Associated With Medical Services	16
Number of Medicare Beneficiaries With Medical	481
Number of Medical Services	1785
Total Medical Submitted Charge Amount	384782.94
Total Medical Medicare Allowed Amount	112541.88
Total Medical Medicare Payment Amount	88302.45
Total Medical Medicare Standardized Payment Amount	86185.78
Average Age of Beneficiaries	75
Number of Beneficiaries Age Less 65	64
Number of Beneficiaries Age 65 to 74	147
Number of Beneficiaries Age 75 to 84	172
Number of Beneficiaries Age Greater 84	98
Number of Female Beneficiaries	264
Number of Male Beneficiaries	217
Number of Non-Hispanic White Beneficiaries
Number of Black or African American Beneficiaries
Number of Asian Pacific Islander Beneficiaries
Number of Hispanic Beneficiaries
Number of American Indian/Alaska Native Beneficiaries
Number of Beneficiaries With Race Not Elsewhere Classified
Number of Beneficiaries With Medicare & Medicaid Entitlement	135
Number of Beneficiaries With Medicare Only Entitlement	346
Percent (%) of Beneficiaries Identified With Atrial Fibrillation	0.3
Percent (%) of Beneficiaries Identified With Alzheimer's Disease or Dementia	0.22
Percent (%) of Beneficiaries Identified With Asthma	0.09
Percent (%) of Beneficiaries Identified With Cancer	0.13
Percent (%) of Beneficiaries Identified With Heart Failure	0.46
Percent (%) of Beneficiaries Identified With Chronic Kidney Disease	0.55
Percent (%) of Beneficiaries Identified With Chronic Obstructive Pulmonary Disease	0.34
Percent (%) of Beneficiaries Identified With Depression	0.33
Percent (%) of Beneficiaries Identified With Diabetes	0.43
Percent (%) of Beneficiaries Identified With Hyperlipidemia	0.75
Percent (%) of Beneficiaries Identified With Hypertension	0.75
Percent (%) of Beneficiaries Identified With Ischemic Heart Disease	0.54
Percent (%) of Beneficiaries Identified With Osteoporosis	0.1
Percent (%) of Beneficiaries Identified With Rheumatoid Arthritis / Osteoarthritis	0.6
Percent (%) of Beneficiaries Identified With Schizophrenia / Other Psychotic Disorders	0.04
Percent (%) of Beneficiaries Identified With Stroke	0.11
Average HCC Risk Score of Beneficiaries	2.1055

Medicare Part D Prescribers

Information on prescription drugs provided to Medicare beneficiaries enrolled in Part D (Prescription Drug Coverage), by physicians and other health care providers, aggregated by provider.

Provider Specialty Type	Internal Medicine
Source of Provider Specialty
Number of Medicare Part D Claims, Including Refills	12460
Number of Standardized 30-Day Fills	23744.233333
Aggregate Cost Paid for All Claims	800107.74
Number of Day's Supply for All Claims	675736
Number of Medicare Beneficiaries	551
Number of Claims, Including Refills, for Beneficiaries Age 65+	10769
Including Refills, for Beneficiaries Age 65+	20942.1
Beneficiaries Age 65+	668322.35
Number of Day's Supply for All Claims for Beneficaries Age 65+	595801
Number of Medicare Beneficiaries Age 65+	478
Reason for Suppression of Brnd_Tot_Clms and Brnd_Tot_Drug_Cst
Total Claims of Brand-Name Drugs	1351
Reason for Suppression of Gnrc_Tot_Clms and Gnrc_Tot_Drug_Cst
Total Claims of Generic Drugs, Including Refills	10970
Aggregate Cost Paid for Generic Drugs	229173.53
Reason for Suppression of Othr_Tot_Clms and Othr_Tot_Drug_Cst
Total Claims of Other Drugs, Including Refills	139
Aggregate Cost Paid for Other Drugs	9567.91
Reason for Suppression of MAPD_Tot_Clmsand MAPD_Tot_Drug_Cst
Number of Claims for Beneficiaries Covered by MAPD Plans	2441
Aggregate Cost Paid for Claims Filled by Beneficiaries in MAPD Plans	167641.06
Reason for Suppression of PDP_Tot_Clms and PDP_Tot_Drug_Cst
Number of Claims for Beneficiaries Covered by Standalone PDP Plans	10019
Aggregate Cost Paid for Claims Filled by	632466.68
Reason for Suppression of LIS_Tot_Clms and LIS_Drug_Cst
Number of Claims for Beneficiaries Covered by Low-Income Subsidy	3775
Aggregate Cost Paid for Claims Covered by Low-Income Subsidy	326886.85
Reason for Suppression of NonLIS_Tot_Clms and NonLIS_Drug_Cst
Number of Claims for Beneficiaries Not Covered by Low-Income Subsidy	8685
by Low-Income Subsidy	473220.89
Total Claims of Opioid Drugs, Including
Aggregate Cost Paid for Opioid Drugs
Opioid Claims
Opioid_Tot_Clms divided by the Tot_Clms
Total Claims of Long-Acting Opioid Drugs
Aggregate Cost Paid for Long-Acting Opioid
Number of Day's Supply of All Long-Acting
Long-Acting Opioid Claims
Opioid_LA_Tot_Clms divided by the
Total Claims of Antibiotic Drugs, Including	573
Aggregate Cost Paid for Antibiotic Drugs	17405.39
Antibiotic Claims	193
Reason for Suppression of Antpsyct_GE65_Tot_Clms and Antpsyct_GE65_Tot_Drug_Cst
Including Refills, for Beneficiaries Age 65+	155
Aggregate Cost Paid for AntipsychoticDrugs for Beneficiaries Age 65+	5864.13
Reason for Suppression of Antpsyct_GE65_Tot_Benes
Number of Medicare Beneficiaries Age 65+Filling Antipsychotic Claims	18
Average Age of Beneficiaries	72.460980036
Number of Beneficiaries Age Less Than 65	73
Number of Beneficiaries Age 65 to 74	231
Number of Beneficiaries Age 75 to 84	177
Number of Female Beneficiaries	311
Number of Male Beneficiaries	240
Number of Non-Hispanic White	537
Number of Black or African American
Number of Asian Pacific Islander
Number of Hispanic Beneficiaries	0
Number of American Indian/Alaskan NativeBeneficiaries	0
Number of Beneficiaries with Race Not	11
Only Entitlement	438
Average Hierarchical Condition Category	1.2907101353

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