Medicare Facts for Dr. William J. Heringer, MD


National Provider Identifier [NPI]: 1528173127
Last Name Of The Provider HERINGER
First Name Of The Provider WILLIAM
Middle Initial Of The Provider J
Credentials Of The Provider MD
Gender Of The Provider M
Entity Type Of The Provider I
Street Address 1 Of The Provider 2030 VIBORG ROAD
Street Address 2 Of The Provider SUITE 205
City Of The Provider SOLVANG
Zip Code Of The Provider 934632298
State Code Of The Provider CA
Country Code Of The Provider US
Provider Type Of The Provider Internal Medicine
Medicare Participation Indicator Y
Number Of HCPCS 74
Number Of Services 2477
Number Of Medicare Beneficiaries 298
Total Submitted Charge Amount 227555.75
Total Medicare Allowed Amount 176956.53
Total Medicare Payment Amount 133646.06
Total Medicare Standardized Payment Amount 129272.87
Drug Suppress Indicator
Number Of HCPCS Associated With Drug Services 17
Number Of Drug Services 333
Number Of Medicare Beneficiaries With Drug Services 208
Total Drug Submitted ChargeAmount 13318
Total Drug Medicare AllowedAmount 5770.48
Total Drug Medicare PaymentAmount 5444.24
Total Drug Medicare Standardized Payment Amount 5444.24
Medical SuppressIndicator
Number Of HCPCS Associated With MedicalServices 57
Number Of Medical Services 2144
Number Of Medicare Beneficiaries With Medical Services 298
Total Medical Submitted Charge Amount 214237.75
Total Medical Medicare Allowed Amount 171186.05
Total Medical Medicare Payment Amount 128201.82
Total Medical Medicare Standardized Payment Amount 123828.63
Average Age Of Beneficiaries 79
Number Of Beneficiaries Age Less65
Number Of Beneficiaries Age 65 to 74 104
Number Of Beneficiaries Age 75 to 84 116
Number Of Beneficiaries Age Greater 84
Number Of Female Beneficiaries 149
Number Of Male Beneficiaries 149
Number Of Non Hispanic White Beneficiaries 285
Number Of Black or African American Beneficiaries 0
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
Number Of Beneficiaries With Medicare Medicaid Entitlement
Percent Of With Atrial Fibrillation 23
Percent Of With Alzheimers Disease or Dementia 13
Percent Of With Asthma 4
Percent Of With Cancer 12
Percent Of With Heart Failure 24
Percent Of With Chronic Kidney Disease 17
Percent Of With Chronic Obstructive Pulmonary Disease 7
Percent Of With Depression 17
Percent Of With Diabetes 18
Percent Of With Hyperlipidemia 72
Percent Of With Hypertension 64
Percent Of With Ischemic Heart Disease 45
Percent Of With Osteoporosis 15
Percent Of With Rheumatoid Arthritis Osteoarthritis 34
Percent Of With Schizophrenia Other PsychoticDisorders
Percent Of With Stroke
Average HCC Risk Score Of Beneficiaries 1.0202

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