Medicare Facts for Dr. John R. Pitman, OD


National Provider Identifier [NPI]: 1568640423
Last Name Of The Provider PITMAN
First Name Of The Provider JOHN
Middle Initial Of The Provider R
Credentials Of The Provider OD
Gender Of The Provider M
Entity Type Of The Provider I
Street Address 1 Of The Provider 2051 S COLE RD
Street Address 2 Of The Provider
City Of The Provider BOISE
Zip Code Of The Provider 837092815
State Code Of The Provider ID
Country Code Of The Provider US
Provider Type Of The Provider Optometry
Medicare Participation Indicator Y
Number Of HCPCS 6
Number Of Services 105
Number Of Medicare Beneficiaries 100
Total Submitted Charge Amount 7775
Total Medicare Allowed Amount 7775
Total Medicare Payment Amount 5227.09
Total Medicare Standardized Payment Amount 9217.2
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 6
Number Of Medical Services 105
Number Of Medicare Beneficiaries With Medical Services 100
Total Medical Submitted Charge Amount 7775
Total Medical Medicare Allowed Amount 7775
Total Medical Medicare Payment Amount 5227.09
Total Medical Medicare Standardized Payment Amount 9217.2
Average Age Of Beneficiaries 76
Number Of Beneficiaries Age Less65 0
Number Of Beneficiaries Age 65 to 74 47
Number Of Beneficiaries Age 75 to 84 42
Number Of Beneficiaries Age Greater 84 11
Number Of Female Beneficiaries 52
Number Of Male Beneficiaries 48
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 100
Number Of Beneficiaries With Medicare Medicaid Entitlement 0
Percent Of With Atrial Fibrillation 11
Percent Of With Alzheimers Disease or Dementia
Percent Of With Asthma
Percent Of With Cancer
Percent Of With Heart Failure 14
Percent Of With Chronic Kidney Disease 15
Percent Of With Chronic Obstructive Pulmonary Disease
Percent Of With Depression 15
Percent Of With Diabetes 19
Percent Of With Hyperlipidemia 48
Percent Of With Hypertension 58
Percent Of With Ischemic Heart Disease 24
Percent Of With Osteoporosis
Percent Of With Rheumatoid Arthritis Osteoarthritis 27
Percent Of With Schizophrenia Other PsychoticDisorders 0
Percent Of With Stroke
Average HCC Risk Score Of Beneficiaries 0.8187

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