Medicare Facts for Dr. Mark E. Esterle, MD


National Provider Identifier [NPI]: 1003954876
Last Name Of The Provider ESTERLE
First Name Of The Provider MARK
Middle Initial Of The Provider E
Credentials Of The Provider M.D.
Gender Of The Provider M
Entity Type Of The Provider I
Street Address 1 Of The Provider 4003 KRESGE WAY
Street Address 2 Of The Provider SUITE 312
City Of The Provider LOUISVILLE
Zip Code Of The Provider 402074652
State Code Of The Provider KY
Country Code Of The Provider US
Provider Type Of The Provider Pulmonary Disease
Medicare Participation Indicator Y
Number Of HCPCS 85
Number Of Services 5925
Number Of Medicare Beneficiaries 1259
Total Submitted Charge Amount 1003079
Total Medicare Allowed Amount 505868.4
Total Medicare Payment Amount 388721.96
Total Medicare Standardized Payment Amount 413058.15
Drug Suppress Indicator
Number Of HCPCS Associated With Drug Services 6
Number Of Drug Services 90
Number Of Medicare Beneficiaries With Drug Services 49
Total Drug Submitted ChargeAmount 3150
Total Drug Medicare AllowedAmount 2403.47
Total Drug Medicare PaymentAmount 2351.44
Total Drug Medicare Standardized Payment Amount 2351.44
Medical SuppressIndicator
Number Of HCPCS Associated With MedicalServices 79
Number Of Medical Services 5835
Number Of Medicare Beneficiaries With Medical Services 1259
Total Medical Submitted Charge Amount 999929
Total Medical Medicare Allowed Amount 503464.93
Total Medical Medicare Payment Amount 386370.52
Total Medical Medicare Standardized Payment Amount 410706.71
Average Age Of Beneficiaries 75
Number Of Beneficiaries Age Less65 176
Number Of Beneficiaries Age 65 to 74 410
Number Of Beneficiaries Age 75 to 84 421
Number Of Beneficiaries Age Greater 84 252
Number Of Female Beneficiaries 735
Number Of Male Beneficiaries 524
Number Of Non Hispanic White Beneficiaries 1129
Number Of Black or African American Beneficiaries 106
Number Of AsianPacific Islander Beneficiaries
Number Of Hispanic Beneficiaries
Number Of American Indian Alaska Native Beneficiaries 0
Number Of Beneficiaries With Race Not Else where Classified 11
Number Of Beneficiaries With Medicare Only Entitlement 978
Number Of Beneficiaries With Medicare Medicaid Entitlement 281
Percent Of With Atrial Fibrillation 31
Percent Of With Alzheimers Disease or Dementia 24
Percent Of With Asthma 22
Percent Of With Cancer 19
Percent Of With Heart Failure 54
Percent Of With Chronic Kidney Disease 49
Percent Of With Chronic Obstructive Pulmonary Disease 68
Percent Of With Depression 35
Percent Of With Diabetes 42
Percent Of With Hyperlipidemia 63
Percent Of With Hypertension 75
Percent Of With Ischemic Heart Disease 55
Percent Of With Osteoporosis 10
Percent Of With Rheumatoid Arthritis Osteoarthritis 44
Percent Of With Schizophrenia Other PsychoticDisorders 11
Percent Of With Stroke 11
Average HCC Risk Score Of Beneficiaries 2.4138

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