National Provider Identifier [NPI]: |
1073587952 |
Last Name Of The Provider |
OPPENHEIM |
First Name Of The Provider |
SETH |
Middle Initial Of The Provider |
H |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
850 ENTERPRISE PARKWAY |
Street Address 2 Of The Provider |
SUITE 1200 |
City Of The Provider |
HAMPTON |
Zip Code Of The Provider |
236666500 |
State Code Of The Provider |
VA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Ophthalmology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
53 |
Number Of Services |
4374 |
Number Of Medicare Beneficiaries |
2618 |
Total Submitted Charge Amount |
1091326 |
Total Medicare Allowed Amount |
651444.04 |
Total Medicare Payment Amount |
456184.79 |
Total Medicare Standardized Payment Amount |
467783.51 |
Drug Suppress Indicator |
* |
Number Of HCPCS Associated With Drug Services |
|
Number Of Drug Services |
|
Number Of Medicare Beneficiaries With Drug Services |
|
Total Drug Submitted ChargeAmount |
|
Total Drug Medicare AllowedAmount |
|
Total Drug Medicare PaymentAmount |
|
Total Drug Medicare Standardized Payment Amount |
|
Medical SuppressIndicator |
# |
Number Of HCPCS Associated With MedicalServices |
|
Number Of Medical Services |
|
Number Of Medicare Beneficiaries With Medical Services |
|
Total Medical Submitted Charge Amount |
|
Total Medical Medicare Allowed Amount |
|
Total Medical Medicare Payment Amount |
|
Total Medical Medicare Standardized Payment Amount |
|
Average Age Of Beneficiaries |
75 |
Number Of Beneficiaries Age Less65 |
212 |
Number Of Beneficiaries Age 65 to 74 |
1114 |
Number Of Beneficiaries Age 75 to 84 |
927 |
Number Of Beneficiaries Age Greater 84 |
365 |
Number Of Female Beneficiaries |
1566 |
Number Of Male Beneficiaries |
1052 |
Number Of Non Hispanic White Beneficiaries |
1509 |
Number Of Black or African American Beneficiaries |
1028 |
Number Of AsianPacific Islander Beneficiaries |
28 |
Number Of Hispanic Beneficiaries |
25 |
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
28 |
Number Of Beneficiaries With Medicare Only Entitlement |
2338 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
280 |
Percent Of With Atrial Fibrillation |
9 |
Percent Of With Alzheimers Disease or Dementia |
8 |
Percent Of With Asthma |
8 |
Percent Of With Cancer |
12 |
Percent Of With Heart Failure |
15 |
Percent Of With Chronic Kidney Disease |
21 |
Percent Of With Chronic Obstructive Pulmonary Disease |
11 |
Percent Of With Depression |
15 |
Percent Of With Diabetes |
42 |
Percent Of With Hyperlipidemia |
64 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
28 |
Percent Of With Osteoporosis |
7 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
39 |
Percent Of With Schizophrenia Other PsychoticDisorders |
2 |
Percent Of With Stroke |
4 |
Average HCC Risk Score Of Beneficiaries |
1.1605 |