National Provider Identifier [NPI]: |
1740378173 |
Last Name Of The Provider |
MERSCH |
First Name Of The Provider |
ALAN |
Middle Initial Of The Provider |
P |
Credentials Of The Provider |
D.O. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
870 S. FRONT ST. |
Street Address 2 Of The Provider |
SUITE 200 |
City Of The Provider |
CENTRAL POINT |
Zip Code Of The Provider |
97502 |
State Code Of The Provider |
OR |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Family Practice |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
52 |
Number Of Services |
2479 |
Number Of Medicare Beneficiaries |
482 |
Total Submitted Charge Amount |
265532.5 |
Total Medicare Allowed Amount |
79839.12 |
Total Medicare Payment Amount |
48809.94 |
Total Medicare Standardized Payment Amount |
51115.99 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
14 |
Number Of Drug Services |
247 |
Number Of Medicare Beneficiaries With Drug Services |
74 |
Total Drug Submitted ChargeAmount |
2623 |
Total Drug Medicare AllowedAmount |
1692.95 |
Total Drug Medicare PaymentAmount |
1136.21 |
Total Drug Medicare Standardized Payment Amount |
1136.21 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
38 |
Number Of Medical Services |
2232 |
Number Of Medicare Beneficiaries With Medical Services |
481 |
Total Medical Submitted Charge Amount |
262909.5 |
Total Medical Medicare Allowed Amount |
78146.17 |
Total Medical Medicare Payment Amount |
47673.73 |
Total Medical Medicare Standardized Payment Amount |
49979.78 |
Average Age Of Beneficiaries |
72 |
Number Of Beneficiaries Age Less65 |
77 |
Number Of Beneficiaries Age 65 to 74 |
219 |
Number Of Beneficiaries Age 75 to 84 |
128 |
Number Of Beneficiaries Age Greater 84 |
58 |
Number Of Female Beneficiaries |
225 |
Number Of Male Beneficiaries |
257 |
Number Of Non Hispanic White Beneficiaries |
461 |
Number Of Black or African American Beneficiaries |
0 |
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 |
416 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
66 |
Percent Of With Atrial Fibrillation |
22 |
Percent Of With Alzheimers Disease or Dementia |
11 |
Percent Of With Asthma |
7 |
Percent Of With Cancer |
9 |
Percent Of With Heart Failure |
23 |
Percent Of With Chronic Kidney Disease |
22 |
Percent Of With Chronic Obstructive Pulmonary Disease |
14 |
Percent Of With Depression |
17 |
Percent Of With Diabetes |
29 |
Percent Of With Hyperlipidemia |
46 |
Percent Of With Hypertension |
58 |
Percent Of With Ischemic Heart Disease |
33 |
Percent Of With Osteoporosis |
7 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
33 |
Percent Of With Schizophrenia Other PsychoticDisorders |
2 |
Percent Of With Stroke |
7 |
Average HCC Risk Score Of Beneficiaries |
1.142 |