Medicare Facts for Dr. Kent M. Sieboldt, OD


National Provider Identifier [NPI]: 1295733137
Last Name Of The Provider SIEBOLDT
First Name Of The Provider KENT
Middle Initial Of The Provider M
Credentials Of The Provider O.D.
Gender Of The Provider M
Entity Type Of The Provider I
Street Address 1 Of The Provider 324 E BLOOMINGDALE AVE
Street Address 2 Of The Provider
City Of The Provider BRANDON
Zip Code Of The Provider 335118155
State Code Of The Provider FL
Country Code Of The Provider US
Provider Type Of The Provider Optometry
Medicare Participation Indicator Y
Number Of HCPCS 12
Number Of Services 533
Number Of Medicare Beneficiaries 278
Total Submitted Charge Amount 31600
Total Medicare Allowed Amount 29598.27
Total Medicare Payment Amount 19488.28
Total Medicare Standardized Payment Amount 32839.51
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 12
Number Of Medical Services 533
Number Of Medicare Beneficiaries With Medical Services 278
Total Medical Submitted Charge Amount 31600
Total Medical Medicare Allowed Amount 29598.27
Total Medical Medicare Payment Amount 19488.28
Total Medical Medicare Standardized Payment Amount 32839.51
Average Age Of Beneficiaries 72
Number Of Beneficiaries Age Less65 23
Number Of Beneficiaries Age 65 to 74 153
Number Of Beneficiaries Age 75 to 84 80
Number Of Beneficiaries Age Greater 84 22
Number Of Female Beneficiaries 165
Number Of Male Beneficiaries 113
Number Of Non Hispanic White Beneficiaries 246
Number Of Black or African American Beneficiaries
Number Of AsianPacific Islander Beneficiaries
Number Of Hispanic Beneficiaries 13
Number Of American Indian Alaska Native Beneficiaries
Number Of Beneficiaries With Race Not Else where Classified
Number Of Beneficiaries With Medicare Only Entitlement 248
Number Of Beneficiaries With Medicare Medicaid Entitlement 30
Percent Of With Atrial Fibrillation 6
Percent Of With Alzheimers Disease or Dementia 6
Percent Of With Asthma 5
Percent Of With Cancer 11
Percent Of With Heart Failure 10
Percent Of With Chronic Kidney Disease 18
Percent Of With Chronic Obstructive Pulmonary Disease 12
Percent Of With Depression 15
Percent Of With Diabetes 31
Percent Of With Hyperlipidemia 59
Percent Of With Hypertension 65
Percent Of With Ischemic Heart Disease 32
Percent Of With Osteoporosis 10
Percent Of With Rheumatoid Arthritis Osteoarthritis 31
Percent Of With Schizophrenia Other PsychoticDisorders
Percent Of With Stroke 5
Average HCC Risk Score Of Beneficiaries 0.9739

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