Medicare Facts for Dr. Roy J. Guse, MD


National Provider Identifier [NPI]: 1215984356
Last Name Of The Provider GUSE
First Name Of The Provider ROY
Middle Initial Of The Provider
Credentials Of The Provider M.D.
Gender Of The Provider M
Entity Type Of The Provider I
Street Address 1 Of The Provider 208 GASLIGHT BLVD
Street Address 2 Of The Provider
City Of The Provider LUFKIN
Zip Code Of The Provider 759043166
State Code Of The Provider TX
Country Code Of The Provider US
Provider Type Of The Provider Orthopedic Surgery
Medicare Participation Indicator Y
Number Of HCPCS 150
Number Of Services 3941
Number Of Medicare Beneficiaries 632
Total Submitted Charge Amount 1836408
Total Medicare Allowed Amount 401313.28
Total Medicare Payment Amount 301260.07
Total Medicare Standardized Payment Amount 318560.55
Drug Suppress Indicator
Number Of HCPCS Associated With Drug Services 3
Number Of Drug Services 803
Number Of Medicare Beneficiaries With Drug Services 242
Total Drug Submitted ChargeAmount 57799
Total Drug Medicare AllowedAmount 20042.03
Total Drug Medicare PaymentAmount 15197.95
Total Drug Medicare Standardized Payment Amount 15197.95
Medical SuppressIndicator
Number Of HCPCS Associated With MedicalServices 147
Number Of Medical Services 3138
Number Of Medicare Beneficiaries With Medical Services 632
Total Medical Submitted Charge Amount 1778609
Total Medical Medicare Allowed Amount 381271.25
Total Medical Medicare Payment Amount 286062.12
Total Medical Medicare Standardized Payment Amount 303362.6
Average Age Of Beneficiaries 74
Number Of Beneficiaries Age Less65 53
Number Of Beneficiaries Age 65 to 74 273
Number Of Beneficiaries Age 75 to 84 213
Number Of Beneficiaries Age Greater 84 93
Number Of Female Beneficiaries 426
Number Of Male Beneficiaries 206
Number Of Non Hispanic White Beneficiaries 563
Number Of Black or African American Beneficiaries 51
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 546
Number Of Beneficiaries With Medicare Medicaid Entitlement 86
Percent Of With Atrial Fibrillation 12
Percent Of With Alzheimers Disease or Dementia 13
Percent Of With Asthma 8
Percent Of With Cancer 10
Percent Of With Heart Failure 21
Percent Of With Chronic Kidney Disease 25
Percent Of With Chronic Obstructive Pulmonary Disease 17
Percent Of With Depression 23
Percent Of With Diabetes 31
Percent Of With Hyperlipidemia 62
Percent Of With Hypertension 75
Percent Of With Ischemic Heart Disease 38
Percent Of With Osteoporosis 14
Percent Of With Rheumatoid Arthritis Osteoarthritis 75
Percent Of With Schizophrenia Other PsychoticDisorders 3
Percent Of With Stroke 6
Average HCC Risk Score Of Beneficiaries 1.2677

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