Medicare Facts for Dr. Victor S. Soderstrom, DPM


National Provider Identifier [NPI]: 1508810110
Last Name Of The Provider SODERSTROM
First Name Of The Provider VICTOR
Middle Initial Of The Provider S
Credentials Of The Provider DPM
Gender Of The Provider M
Entity Type Of The Provider I
Street Address 1 Of The Provider 101 OAKRIDGE CT
Street Address 2 Of The Provider STE A
City Of The Provider WATERTOWN
Zip Code Of The Provider 530944150
State Code Of The Provider WI
Country Code Of The Provider US
Provider Type Of The Provider Podiatry
Medicare Participation Indicator Y
Number Of HCPCS 48
Number Of Services 1761
Number Of Medicare Beneficiaries 612
Total Submitted Charge Amount 198416
Total Medicare Allowed Amount 100059.09
Total Medicare Payment Amount 68817.68
Total Medicare Standardized Payment Amount 72636.1
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 73
Number Of Beneficiaries Age Less65 129
Number Of Beneficiaries Age 65 to 74 161
Number Of Beneficiaries Age 75 to 84 173
Number Of Beneficiaries Age Greater 84 149
Number Of Female Beneficiaries 367
Number Of Male Beneficiaries 245
Number Of Non Hispanic White Beneficiaries 594
Number Of Black or African American Beneficiaries
Number Of AsianPacific Islander Beneficiaries
Number Of Hispanic Beneficiaries
Number Of American Indian Alaska Native Beneficiaries 0
Number Of Beneficiaries With Race Not Else where Classified
Number Of Beneficiaries With Medicare Only Entitlement 433
Number Of Beneficiaries With Medicare Medicaid Entitlement 179
Percent Of With Atrial Fibrillation 12
Percent Of With Alzheimers Disease or Dementia 13
Percent Of With Asthma 7
Percent Of With Cancer 6
Percent Of With Heart Failure 21
Percent Of With Chronic Kidney Disease 26
Percent Of With Chronic Obstructive Pulmonary Disease 10
Percent Of With Depression 23
Percent Of With Diabetes 35
Percent Of With Hyperlipidemia 54
Percent Of With Hypertension 61
Percent Of With Ischemic Heart Disease 30
Percent Of With Osteoporosis 8
Percent Of With Rheumatoid Arthritis Osteoarthritis 38
Percent Of With Schizophrenia Other PsychoticDisorders 7
Percent Of With Stroke 2
Average HCC Risk Score Of Beneficiaries 1.344

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