Medicare Facts for Cynthia Toth, RN


National Provider Identifier [NPI]: 1275617144
Last Name Of The Provider TOTH
First Name Of The Provider CYNTHIA
Middle Initial Of The Provider
Credentials Of The Provider M.D.
Gender Of The Provider F
Entity Type Of The Provider I
Street Address 1 Of The Provider 2100 ERWIN RD
Street Address 2 Of The Provider
City Of The Provider DURHAM
Zip Code Of The Provider 277100001
State Code Of The Provider NC
Country Code Of The Provider US
Provider Type Of The Provider Ophthalmology
Medicare Participation Indicator Y
Number Of HCPCS 43
Number Of Services 2316
Number Of Medicare Beneficiaries 342
Total Submitted Charge Amount 750258.6
Total Medicare Allowed Amount 267542.05
Total Medicare Payment Amount 202452.74
Total Medicare Standardized Payment Amount 209578.28
Drug Suppress Indicator
Number Of HCPCS Associated With Drug Services 3
Number Of Drug Services 139
Number Of Medicare Beneficiaries With Drug Services 23
Total Drug Submitted ChargeAmount 97963
Total Drug Medicare AllowedAmount 76665.44
Total Drug Medicare PaymentAmount 60030.53
Total Drug Medicare Standardized Payment Amount 60030.53
Medical SuppressIndicator
Number Of HCPCS Associated With MedicalServices 40
Number Of Medical Services 2177
Number Of Medicare Beneficiaries With Medical Services 342
Total Medical Submitted Charge Amount 652295.6
Total Medical Medicare Allowed Amount 190876.61
Total Medical Medicare Payment Amount 142422.21
Total Medical Medicare Standardized Payment Amount 149547.75
Average Age Of Beneficiaries 74
Number Of Beneficiaries Age Less65 34
Number Of Beneficiaries Age 65 to 74 126
Number Of Beneficiaries Age 75 to 84 123
Number Of Beneficiaries Age Greater 84 59
Number Of Female Beneficiaries 184
Number Of Male Beneficiaries 158
Number Of Non Hispanic White Beneficiaries 267
Number Of Black or African American Beneficiaries 54
Number Of AsianPacific Islander Beneficiaries
Number Of Hispanic Beneficiaries
Number Of American Indian Alaska Native Beneficiaries 0
Number Of Beneficiaries With Race Not Else where Classified
Number Of Beneficiaries With Medicare Only Entitlement 307
Number Of Beneficiaries With Medicare Medicaid Entitlement 35
Percent Of With Atrial Fibrillation 11
Percent Of With Alzheimers Disease or Dementia 7
Percent Of With Asthma 5
Percent Of With Cancer 13
Percent Of With Heart Failure 15
Percent Of With Chronic Kidney Disease 23
Percent Of With Chronic Obstructive Pulmonary Disease 13
Percent Of With Depression 13
Percent Of With Diabetes 39
Percent Of With Hyperlipidemia 60
Percent Of With Hypertension 70
Percent Of With Ischemic Heart Disease 34
Percent Of With Osteoporosis 8
Percent Of With Rheumatoid Arthritis Osteoarthritis 34
Percent Of With Schizophrenia Other PsychoticDisorders
Percent Of With Stroke 4
Average HCC Risk Score Of Beneficiaries 1.4011

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