Medicare Facts for Dr. Jason P. Dieterle, DO


National Provider Identifier [NPI]: 1376730069
Last Name Of The Provider DIETERLE
First Name Of The Provider JASON
Middle Initial Of The Provider P
Credentials Of The Provider DO
Gender Of The Provider M
Entity Type Of The Provider I
Street Address 1 Of The Provider 5803 NEAL AVE N
Street Address 2 Of The Provider
City Of The Provider OAK PARK HEIGHTS
Zip Code Of The Provider 550822177
State Code Of The Provider MN
Country Code Of The Provider US
Provider Type Of The Provider Orthopedic Surgery
Medicare Participation Indicator Y
Number Of HCPCS 52
Number Of Services 1152
Number Of Medicare Beneficiaries 173
Total Submitted Charge Amount 353512.51
Total Medicare Allowed Amount 101934.17
Total Medicare Payment Amount 77326.38
Total Medicare Standardized Payment Amount 81680.44
Drug Suppress Indicator
Number Of HCPCS Associated With Drug Services 3
Number Of Drug Services 521
Number Of Medicare Beneficiaries With Drug Services 75
Total Drug Submitted ChargeAmount 14008
Total Drug Medicare AllowedAmount 7779.25
Total Drug Medicare PaymentAmount 6053.28
Total Drug Medicare Standardized Payment Amount 6053.28
Medical SuppressIndicator
Number Of HCPCS Associated With MedicalServices 49
Number Of Medical Services 631
Number Of Medicare Beneficiaries With Medical Services 173
Total Medical Submitted Charge Amount 339504.51
Total Medical Medicare Allowed Amount 94154.92
Total Medical Medicare Payment Amount 71273.1
Total Medical Medicare Standardized Payment Amount 75627.16
Average Age Of Beneficiaries 73
Number Of Beneficiaries Age Less65 20
Number Of Beneficiaries Age 65 to 74 84
Number Of Beneficiaries Age 75 to 84 49
Number Of Beneficiaries Age Greater 84 20
Number Of Female Beneficiaries 97
Number Of Male Beneficiaries 76
Number Of Non Hispanic White Beneficiaries
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 147
Number Of Beneficiaries With Medicare Medicaid Entitlement 26
Percent Of With Atrial Fibrillation 9
Percent Of With Alzheimers Disease or Dementia 12
Percent Of With Asthma 7
Percent Of With Cancer 10
Percent Of With Heart Failure 10
Percent Of With Chronic Kidney Disease 14
Percent Of With Chronic Obstructive Pulmonary Disease 12
Percent Of With Depression 29
Percent Of With Diabetes 25
Percent Of With Hyperlipidemia 43
Percent Of With Hypertension 56
Percent Of With Ischemic Heart Disease 25
Percent Of With Osteoporosis 9
Percent Of With Rheumatoid Arthritis Osteoarthritis 66
Percent Of With Schizophrenia Other PsychoticDisorders
Percent Of With Stroke
Average HCC Risk Score Of Beneficiaries 1.0729

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