Medicare Facts for Dr. Cory W. Smith, OD


National Provider Identifier [NPI]: 1073563573
Last Name Of The Provider SMITH
First Name Of The Provider CORY
Middle Initial Of The Provider W
Credentials Of The Provider O.D.
Gender Of The Provider M
Entity Type Of The Provider I
Street Address 1 Of The Provider 27 MONTEBELLO RD
Street Address 2 Of The Provider
City Of The Provider PUEBLO
Zip Code Of The Provider 810011236
State Code Of The Provider CO
Country Code Of The Provider US
Provider Type Of The Provider Optometry
Medicare Participation Indicator Y
Number Of HCPCS 16
Number Of Services 745
Number Of Medicare Beneficiaries 553
Total Submitted Charge Amount 140103
Total Medicare Allowed Amount 77009.53
Total Medicare Payment Amount 48212.96
Total Medicare Standardized Payment Amount 47482.57
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 16
Number Of Medical Services 745
Number Of Medicare Beneficiaries With Medical Services 553
Total Medical Submitted Charge Amount 140103
Total Medical Medicare Allowed Amount 77009.53
Total Medical Medicare Payment Amount 48212.96
Total Medical Medicare Standardized Payment Amount 47482.57
Average Age Of Beneficiaries 71
Number Of Beneficiaries Age Less65 111
Number Of Beneficiaries Age 65 to 74 230
Number Of Beneficiaries Age 75 to 84 157
Number Of Beneficiaries Age Greater 84 55
Number Of Female Beneficiaries 320
Number Of Male Beneficiaries 233
Number Of Non Hispanic White Beneficiaries 327
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 360
Number Of Beneficiaries With Medicare Medicaid Entitlement 193
Percent Of With Atrial Fibrillation 5
Percent Of With Alzheimers Disease or Dementia 8
Percent Of With Asthma 6
Percent Of With Cancer 7
Percent Of With Heart Failure 13
Percent Of With Chronic Kidney Disease 17
Percent Of With Chronic Obstructive Pulmonary Disease 15
Percent Of With Depression 16
Percent Of With Diabetes 34
Percent Of With Hyperlipidemia 44
Percent Of With Hypertension 57
Percent Of With Ischemic Heart Disease 20
Percent Of With Osteoporosis 7
Percent Of With Rheumatoid Arthritis Osteoarthritis 40
Percent Of With Schizophrenia Other PsychoticDisorders 3
Percent Of With Stroke 2
Average HCC Risk Score Of Beneficiaries 0.9959

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