Medicare Facts for Dr. Douglas J. Abeles, MD


National Provider Identifier [NPI]: 1508961582
Last Name Of The Provider ABELES
First Name Of The Provider DOUGLAS
Middle Initial Of The Provider J
Credentials Of The Provider MD
Gender Of The Provider M
Entity Type Of The Provider I
Street Address 1 Of The Provider 21030 REDWOOD RD
Street Address 2 Of The Provider
City Of The Provider CASTRO VALLEY
Zip Code Of The Provider 945465920
State Code Of The Provider CA
Country Code Of The Provider US
Provider Type Of The Provider Orthopedic Surgery
Medicare Participation Indicator Y
Number Of HCPCS 108
Number Of Services 1659
Number Of Medicare Beneficiaries 301
Total Submitted Charge Amount 353139.39
Total Medicare Allowed Amount 181733.14
Total Medicare Payment Amount 138543.11
Total Medicare Standardized Payment Amount 131315.93
Drug Suppress Indicator
Number Of HCPCS Associated With Drug Services 3
Number Of Drug Services 164
Number Of Medicare Beneficiaries With Drug Services 82
Total Drug Submitted ChargeAmount 15980
Total Drug Medicare AllowedAmount 5532.33
Total Drug Medicare PaymentAmount 4333.95
Total Drug Medicare Standardized Payment Amount 4333.95
Medical SuppressIndicator
Number Of HCPCS Associated With MedicalServices 105
Number Of Medical Services 1495
Number Of Medicare Beneficiaries With Medical Services 301
Total Medical Submitted Charge Amount 337159.39
Total Medical Medicare Allowed Amount 176200.81
Total Medical Medicare Payment Amount 134209.16
Total Medical Medicare Standardized Payment Amount 126981.98
Average Age Of Beneficiaries 71
Number Of Beneficiaries Age Less65 84
Number Of Beneficiaries Age 65 to 74 96
Number Of Beneficiaries Age 75 to 84 77
Number Of Beneficiaries Age Greater 84 44
Number Of Female Beneficiaries 176
Number Of Male Beneficiaries 125
Number Of Non Hispanic White Beneficiaries 194
Number Of Black or African American Beneficiaries 43
Number Of AsianPacific Islander Beneficiaries
Number Of Hispanic Beneficiaries 37
Number Of American Indian Alaska Native Beneficiaries
Number Of Beneficiaries With Race Not Else where Classified
Number Of Beneficiaries With Medicare Only Entitlement 204
Number Of Beneficiaries With Medicare Medicaid Entitlement 97
Percent Of With Atrial Fibrillation 12
Percent Of With Alzheimers Disease or Dementia 13
Percent Of With Asthma 10
Percent Of With Cancer 9
Percent Of With Heart Failure 16
Percent Of With Chronic Kidney Disease 22
Percent Of With Chronic Obstructive Pulmonary Disease 12
Percent Of With Depression 24
Percent Of With Diabetes 24
Percent Of With Hyperlipidemia 50
Percent Of With Hypertension 63
Percent Of With Ischemic Heart Disease 25
Percent Of With Osteoporosis 12
Percent Of With Rheumatoid Arthritis Osteoarthritis 60
Percent Of With Schizophrenia Other PsychoticDisorders 7
Percent Of With Stroke 4
Average HCC Risk Score Of Beneficiaries 1.3527

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