Medicare Facts for Dr. Philip M. Ebersole, MD


National Provider Identifier [NPI]: 1275597999
Last Name Of The Provider EBERSOLE
First Name Of The Provider PHILIP
Middle Initial Of The Provider M
Credentials Of The Provider M.D.
Gender Of The Provider M
Entity Type Of The Provider I
Street Address 1 Of The Provider 25405 HANCOCK AVE
Street Address 2 Of The Provider SUITE 204
City Of The Provider MURRIETA
Zip Code Of The Provider 925625982
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 29
Number Of Services 1537
Number Of Medicare Beneficiaries 210
Total Submitted Charge Amount 75168.61
Total Medicare Allowed Amount 65865.28
Total Medicare Payment Amount 48070.89
Total Medicare Standardized Payment Amount 48560.27
Drug Suppress Indicator
Number Of HCPCS Associated With Drug Services 9
Number Of Drug Services 492
Number Of Medicare Beneficiaries With Drug Services 107
Total Drug Submitted ChargeAmount 4629.29
Total Drug Medicare AllowedAmount 2395.25
Total Drug Medicare PaymentAmount 2092.13
Total Drug Medicare Standardized Payment Amount 2092.13
Medical SuppressIndicator
Number Of HCPCS Associated With MedicalServices 20
Number Of Medical Services 1045
Number Of Medicare Beneficiaries With Medical Services 210
Total Medical Submitted Charge Amount 70539.32
Total Medical Medicare Allowed Amount 63470.03
Total Medical Medicare Payment Amount 45978.76
Total Medical Medicare Standardized Payment Amount 46468.14
Average Age Of Beneficiaries 76
Number Of Beneficiaries Age Less65 12
Number Of Beneficiaries Age 65 to 74 70
Number Of Beneficiaries Age 75 to 84 97
Number Of Beneficiaries Age Greater 84 31
Number Of Female Beneficiaries 110
Number Of Male Beneficiaries 100
Number Of Non Hispanic White Beneficiaries 192
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 199
Number Of Beneficiaries With Medicare Medicaid Entitlement 11
Percent Of With Atrial Fibrillation 19
Percent Of With Alzheimers Disease or Dementia
Percent Of With Asthma 8
Percent Of With Cancer 12
Percent Of With Heart Failure 18
Percent Of With Chronic Kidney Disease 9
Percent Of With Chronic Obstructive Pulmonary Disease 10
Percent Of With Depression 10
Percent Of With Diabetes 21
Percent Of With Hyperlipidemia 58
Percent Of With Hypertension 63
Percent Of With Ischemic Heart Disease 36
Percent Of With Osteoporosis 8
Percent Of With Rheumatoid Arthritis Osteoarthritis 40
Percent Of With Schizophrenia Other PsychoticDisorders
Percent Of With Stroke 6
Average HCC Risk Score Of Beneficiaries 1.0105

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