National Provider Identifier [NPI]: |
1033212022 |
Last Name Of The Provider |
OESTREICHER |
First Name Of The Provider |
LEONARD |
Middle Initial Of The Provider |
M |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
374 W OLIVE AVENUE |
Street Address 2 Of The Provider |
SUITE B |
City Of The Provider |
MERCED |
Zip Code Of The Provider |
95348 |
State Code Of The Provider |
CA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Family Practice |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
81 |
Number Of Services |
6934 |
Number Of Medicare Beneficiaries |
1533 |
Total Submitted Charge Amount |
685696 |
Total Medicare Allowed Amount |
443131.92 |
Total Medicare Payment Amount |
312962.57 |
Total Medicare Standardized Payment Amount |
295412.13 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
14 |
Number Of Drug Services |
529 |
Number Of Medicare Beneficiaries With Drug Services |
190 |
Total Drug Submitted ChargeAmount |
12752 |
Total Drug Medicare AllowedAmount |
3681.59 |
Total Drug Medicare PaymentAmount |
3338.28 |
Total Drug Medicare Standardized Payment Amount |
3338.28 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
67 |
Number Of Medical Services |
6405 |
Number Of Medicare Beneficiaries With Medical Services |
1533 |
Total Medical Submitted Charge Amount |
672944 |
Total Medical Medicare Allowed Amount |
439450.33 |
Total Medical Medicare Payment Amount |
309624.29 |
Total Medical Medicare Standardized Payment Amount |
292073.85 |
Average Age Of Beneficiaries |
71 |
Number Of Beneficiaries Age Less65 |
310 |
Number Of Beneficiaries Age 65 to 74 |
641 |
Number Of Beneficiaries Age 75 to 84 |
392 |
Number Of Beneficiaries Age Greater 84 |
190 |
Number Of Female Beneficiaries |
964 |
Number Of Male Beneficiaries |
569 |
Number Of Non Hispanic White Beneficiaries |
936 |
Number Of Black or African American Beneficiaries |
74 |
Number Of AsianPacific Islander Beneficiaries |
34 |
Number Of Hispanic Beneficiaries |
465 |
Number Of American Indian Alaska Native Beneficiaries |
13 |
Number Of Beneficiaries With Race Not Else where Classified |
11 |
Number Of Beneficiaries With Medicare Only Entitlement |
979 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
554 |
Percent Of With Atrial Fibrillation |
8 |
Percent Of With Alzheimers Disease or Dementia |
9 |
Percent Of With Asthma |
15 |
Percent Of With Cancer |
8 |
Percent Of With Heart Failure |
20 |
Percent Of With Chronic Kidney Disease |
23 |
Percent Of With Chronic Obstructive Pulmonary Disease |
16 |
Percent Of With Depression |
20 |
Percent Of With Diabetes |
38 |
Percent Of With Hyperlipidemia |
44 |
Percent Of With Hypertension |
65 |
Percent Of With Ischemic Heart Disease |
35 |
Percent Of With Osteoporosis |
6 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
36 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
4 |
Average HCC Risk Score Of Beneficiaries |
1.2764 |