Medicare Facts for Dr. Oscar L. Elguero, MD


National Provider Identifier [NPI]: 1154378883
Last Name Of The Provider ELGUERO
First Name Of The Provider OSCAR
Middle Initial Of The Provider L
Credentials Of The Provider M.D.
Gender Of The Provider M
Entity Type Of The Provider I
Street Address 1 Of The Provider 100 WASON AVENUE
Street Address 2 Of The Provider SUITE 120
City Of The Provider SPRINGFIELD
Zip Code Of The Provider 011071119
State Code Of The Provider MA
Country Code Of The Provider US
Provider Type Of The Provider Urology
Medicare Participation Indicator Y
Number Of HCPCS 27
Number Of Services 775
Number Of Medicare Beneficiaries 141
Total Submitted Charge Amount 109147
Total Medicare Allowed Amount 40761.13
Total Medicare Payment Amount 30587.31
Total Medicare Standardized Payment Amount 30151.08
Drug Suppress Indicator
Number Of HCPCS Associated With Drug Services 4
Number Of Drug Services 318
Number Of Medicare Beneficiaries With Drug Services 18
Total Drug Submitted ChargeAmount 17000
Total Drug Medicare AllowedAmount 11201.04
Total Drug Medicare PaymentAmount 8441.2
Total Drug Medicare Standardized Payment Amount 8441.2
Medical SuppressIndicator
Number Of HCPCS Associated With MedicalServices 23
Number Of Medical Services 457
Number Of Medicare Beneficiaries With Medical Services 141
Total Medical Submitted Charge Amount 92147
Total Medical Medicare Allowed Amount 29560.09
Total Medical Medicare Payment Amount 22146.11
Total Medical Medicare Standardized Payment Amount 21709.88
Average Age Of Beneficiaries 72
Number Of Beneficiaries Age Less65
Number Of Beneficiaries Age 65 to 74 71
Number Of Beneficiaries Age 75 to 84 41
Number Of Beneficiaries Age Greater 84
Number Of Female Beneficiaries 17
Number Of Male Beneficiaries 124
Number Of Non Hispanic White Beneficiaries 111
Number Of Black or African American Beneficiaries
Number Of AsianPacific Islander Beneficiaries
Number Of Hispanic Beneficiaries 17
Number Of American Indian Alaska Native Beneficiaries
Number Of Beneficiaries With Race Not Else where Classified
Number Of Beneficiaries With Medicare Only Entitlement 108
Number Of Beneficiaries With Medicare Medicaid Entitlement 33
Percent Of With Atrial Fibrillation
Percent Of With Alzheimers Disease or Dementia 9
Percent Of With Asthma
Percent Of With Cancer 55
Percent Of With Heart Failure 10
Percent Of With Chronic Kidney Disease 35
Percent Of With Chronic Obstructive Pulmonary Disease 13
Percent Of With Depression 14
Percent Of With Diabetes 33
Percent Of With Hyperlipidemia 62
Percent Of With Hypertension 65
Percent Of With Ischemic Heart Disease 31
Percent Of With Osteoporosis
Percent Of With Rheumatoid Arthritis Osteoarthritis 28
Percent Of With Schizophrenia Other PsychoticDisorders
Percent Of With Stroke
Average HCC Risk Score Of Beneficiaries 1.2362

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