| National Provider Identifier [NPI]: | 1962407791 |
| Last Name Of The Provider | SIEVERS |
| First Name Of The Provider | RICHARD |
| 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 | 6005 PARK AVE |
| Street Address 2 Of The Provider | STE 624B |
| City Of The Provider | MEMPHIS |
| Zip Code Of The Provider | 381195221 |
| State Code Of The Provider | TN |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Ophthalmology |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 50 |
| Number Of Services | 11839 |
| Number Of Medicare Beneficiaries | 1682 |
| Total Submitted Charge Amount | 3471319.14 |
| Total Medicare Allowed Amount | 1462596.8 |
| Total Medicare Payment Amount | 1098026.92 |
| Total Medicare Standardized Payment Amount | 1158939.72 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 7 |
| Number Of Drug Services | 2862 |
| Number Of Medicare Beneficiaries With Drug Services | 475 |
| Total Drug Submitted ChargeAmount | 635841.48 |
| Total Drug Medicare AllowedAmount | 604651.81 |
| Total Drug Medicare PaymentAmount | 467148.91 |
| Total Drug Medicare Standardized Payment Amount | 467148.91 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 43 |
| Number Of Medical Services | 8977 |
| Number Of Medicare Beneficiaries With Medical Services | 1681 |
| Total Medical Submitted Charge Amount | 2835477.66 |
| Total Medical Medicare Allowed Amount | 857944.99 |
| Total Medical Medicare Payment Amount | 630878.01 |
| Total Medical Medicare Standardized Payment Amount | 691790.81 |
| Average Age Of Beneficiaries | 75 |
| Number Of Beneficiaries Age Less65 | 177 |
| Number Of Beneficiaries Age 65 to 74 | 602 |
| Number Of Beneficiaries Age 75 to 84 | 547 |
| Number Of Beneficiaries Age Greater 84 | 356 |
| Number Of Female Beneficiaries | 989 |
| Number Of Male Beneficiaries | 693 |
| Number Of Non Hispanic White Beneficiaries | 1439 |
| Number Of Black or African American Beneficiaries | 214 |
| Number Of AsianPacific Islander Beneficiaries | 13 |
| 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 | 1433 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 249 |
| Percent Of With Atrial Fibrillation | 13 |
| Percent Of With Alzheimers Disease or Dementia | 10 |
| Percent Of With Asthma | 4 |
| Percent Of With Cancer | 9 |
| Percent Of With Heart Failure | 22 |
| Percent Of With Chronic Kidney Disease | 26 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 13 |
| Percent Of With Depression | 14 |
| Percent Of With Diabetes | 49 |
| Percent Of With Hyperlipidemia | 57 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 40 |
| Percent Of With Osteoporosis | 7 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 35 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 3 |
| Percent Of With Stroke | 6 |
| Average HCC Risk Score Of Beneficiaries | 1.5202 |