Medicare Facts for Donald A. Tillman, LCSW


National Provider Identifier [NPI]: 1821198037
Last Name Of The Provider TILLMAN
First Name Of The Provider DONALD
Middle Initial Of The Provider K
Credentials Of The Provider D.O.
Gender Of The Provider M
Entity Type Of The Provider I
Street Address 1 Of The Provider 2708 STERNBERG DR
Street Address 2 Of The Provider
City Of The Provider HAYS
Zip Code Of The Provider 67601
State Code Of The Provider KS
Country Code Of The Provider US
Provider Type Of The Provider Dermatology
Medicare Participation Indicator Y
Number Of HCPCS 73
Number Of Services 13486
Number Of Medicare Beneficiaries 1796
Total Submitted Charge Amount 1761715
Total Medicare Allowed Amount 1013471.61
Total Medicare Payment Amount 755804.08
Total Medicare Standardized Payment Amount 774146.87
Drug Suppress Indicator
Number Of HCPCS Associated With Drug Services 0
Number Of Drug Services 0
Number Of Medicare Beneficiaries With Drug Services 0
Total Drug Submitted ChargeAmount 0
Total Drug Medicare AllowedAmount 0
Total Drug Medicare PaymentAmount 0
Total Drug Medicare Standardized Payment Amount 0
Medical SuppressIndicator
Number Of HCPCS Associated With MedicalServices 73
Number Of Medical Services 13486
Number Of Medicare Beneficiaries With Medical Services 1796
Total Medical Submitted Charge Amount 1761715
Total Medical Medicare Allowed Amount 1013471.61
Total Medical Medicare Payment Amount 755804.08
Total Medical Medicare Standardized Payment Amount 774146.87
Average Age Of Beneficiaries 77
Number Of Beneficiaries Age Less65 33
Number Of Beneficiaries Age 65 to 74 686
Number Of Beneficiaries Age 75 to 84 752
Number Of Beneficiaries Age Greater 84 325
Number Of Female Beneficiaries 890
Number Of Male Beneficiaries 906
Number Of Non Hispanic White Beneficiaries 1776
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 1753
Number Of Beneficiaries With Medicare Medicaid Entitlement 43
Percent Of With Atrial Fibrillation 12
Percent Of With Alzheimers Disease or Dementia 8
Percent Of With Asthma 3
Percent Of With Cancer 14
Percent Of With Heart Failure 18
Percent Of With Chronic Kidney Disease 18
Percent Of With Chronic Obstructive Pulmonary Disease 12
Percent Of With Depression 12
Percent Of With Diabetes 22
Percent Of With Hyperlipidemia 56
Percent Of With Hypertension 70
Percent Of With Ischemic Heart Disease 33
Percent Of With Osteoporosis 10
Percent Of With Rheumatoid Arthritis Osteoarthritis 40
Percent Of With Schizophrenia Other PsychoticDisorders 3
Percent Of With Stroke 3
Average HCC Risk Score Of Beneficiaries 0.9604

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