National Provider Identifier [NPI]: |
1871535674 |
Last Name Of The Provider |
PLAUCHE |
First Name Of The Provider |
WILLIAM |
Middle Initial Of The Provider |
B |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1625 N HIGHWAY 75 |
Street Address 2 Of The Provider |
|
City Of The Provider |
SHERMAN |
Zip Code Of The Provider |
750902815 |
State Code Of The Provider |
TX |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Ophthalmology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
68 |
Number Of Services |
10851 |
Number Of Medicare Beneficiaries |
2012 |
Total Submitted Charge Amount |
3042677.28 |
Total Medicare Allowed Amount |
1319327.78 |
Total Medicare Payment Amount |
976977.18 |
Total Medicare Standardized Payment Amount |
1023856.83 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
6 |
Number Of Drug Services |
3507 |
Number Of Medicare Beneficiaries With Drug Services |
145 |
Total Drug Submitted ChargeAmount |
570925 |
Total Drug Medicare AllowedAmount |
268874.57 |
Total Drug Medicare PaymentAmount |
208515.71 |
Total Drug Medicare Standardized Payment Amount |
208515.71 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
62 |
Number Of Medical Services |
7344 |
Number Of Medicare Beneficiaries With Medical Services |
2012 |
Total Medical Submitted Charge Amount |
2471752.28 |
Total Medical Medicare Allowed Amount |
1050453.21 |
Total Medical Medicare Payment Amount |
768461.47 |
Total Medical Medicare Standardized Payment Amount |
815341.12 |
Average Age Of Beneficiaries |
75 |
Number Of Beneficiaries Age Less65 |
97 |
Number Of Beneficiaries Age 65 to 74 |
894 |
Number Of Beneficiaries Age 75 to 84 |
723 |
Number Of Beneficiaries Age Greater 84 |
298 |
Number Of Female Beneficiaries |
1235 |
Number Of Male Beneficiaries |
777 |
Number Of Non Hispanic White Beneficiaries |
1889 |
Number Of Black or African American Beneficiaries |
54 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
29 |
Number Of American Indian Alaska Native Beneficiaries |
26 |
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
1831 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
181 |
Percent Of With Atrial Fibrillation |
11 |
Percent Of With Alzheimers Disease or Dementia |
11 |
Percent Of With Asthma |
8 |
Percent Of With Cancer |
9 |
Percent Of With Heart Failure |
23 |
Percent Of With Chronic Kidney Disease |
16 |
Percent Of With Chronic Obstructive Pulmonary Disease |
19 |
Percent Of With Depression |
18 |
Percent Of With Diabetes |
34 |
Percent Of With Hyperlipidemia |
63 |
Percent Of With Hypertension |
73 |
Percent Of With Ischemic Heart Disease |
43 |
Percent Of With Osteoporosis |
8 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
47 |
Percent Of With Schizophrenia Other PsychoticDisorders |
2 |
Percent Of With Stroke |
8 |
Average HCC Risk Score Of Beneficiaries |
1.1685 |