Medicare Facts for Dr. Eric C. Fan, DO


National Provider Identifier [NPI]: 1629191663
Last Name Of The Provider FAN
First Name Of The Provider ERIC
Middle Initial Of The Provider C
Credentials Of The Provider D.O.
Gender Of The Provider M
Entity Type Of The Provider I
Street Address 1 Of The Provider 1102 SMITH AVE
Street Address 2 Of The Provider
City Of The Provider THOMASVILLE
Zip Code Of The Provider 317925739
State Code Of The Provider GA
Country Code Of The Provider US
Provider Type Of The Provider Psychiatry
Medicare Participation Indicator Y
Number Of HCPCS 5
Number Of Services 207
Number Of Medicare Beneficiaries 143
Total Submitted Charge Amount 16939.31
Total Medicare Allowed Amount 13324.73
Total Medicare Payment Amount 7995.24
Total Medicare Standardized Payment Amount 8550.7
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 5
Number Of Medical Services 207
Number Of Medicare Beneficiaries With Medical Services 143
Total Medical Submitted Charge Amount 16939.31
Total Medical Medicare Allowed Amount 13324.73
Total Medical Medicare Payment Amount 7995.24
Total Medical Medicare Standardized Payment Amount 8550.7
Average Age Of Beneficiaries 52
Number Of Beneficiaries Age Less65 122
Number Of Beneficiaries Age 65 to 74
Number Of Beneficiaries Age 75 to 84
Number Of Beneficiaries Age Greater 84
Number Of Female Beneficiaries 64
Number Of Male Beneficiaries 79
Number Of Non Hispanic White Beneficiaries 76
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 20
Number Of Beneficiaries With Medicare Medicaid Entitlement 123
Percent Of With Atrial Fibrillation
Percent Of With Alzheimers Disease or Dementia
Percent Of With Asthma 10
Percent Of With Cancer
Percent Of With Heart Failure 8
Percent Of With Chronic Kidney Disease 9
Percent Of With Chronic Obstructive Pulmonary Disease 15
Percent Of With Depression 45
Percent Of With Diabetes 34
Percent Of With Hyperlipidemia 33
Percent Of With Hypertension 52
Percent Of With Ischemic Heart Disease 8
Percent Of With Osteoporosis
Percent Of With Rheumatoid Arthritis Osteoarthritis 18
Percent Of With Schizophrenia Other PsychoticDisorders 58
Percent Of With Stroke
Average HCC Risk Score Of Beneficiaries 1.1431

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