Medicare Facts for James M. Tickner, MA


National Provider Identifier [NPI]: 1902864085
Last Name Of The Provider TICKNER
First Name Of The Provider JAMES
Middle Initial Of The Provider M
Credentials Of The Provider O.D., M.A.
Gender Of The Provider M
Entity Type Of The Provider I
Street Address 1 Of The Provider 777 OLD WILLOW AVE
Street Address 2 Of The Provider
City Of The Provider HONESDALE
Zip Code Of The Provider 184314217
State Code Of The Provider PA
Country Code Of The Provider US
Provider Type Of The Provider Optometry
Medicare Participation Indicator Y
Number Of HCPCS 12
Number Of Services 417
Number Of Medicare Beneficiaries 155
Total Submitted Charge Amount 51845
Total Medicare Allowed Amount 41136.64
Total Medicare Payment Amount 28744.49
Total Medicare Standardized Payment Amount 30067.97
Drug Suppress Indicator
Number Of HCPCS Associated With Drug Services 0
Number Of Drug Services 0
Number Of Medicare Beneficiaries With Drug Services 0
Total Drug Submitted ChargeAmount 0
Total Drug Medicare AllowedAmount 0
Total Drug Medicare PaymentAmount 0
Total Drug Medicare Standardized Payment Amount 0
Medical SuppressIndicator
Number Of HCPCS Associated With MedicalServices 12
Number Of Medical Services 417
Number Of Medicare Beneficiaries With Medical Services 155
Total Medical Submitted Charge Amount 51845
Total Medical Medicare Allowed Amount 41136.64
Total Medical Medicare Payment Amount 28744.49
Total Medical Medicare Standardized Payment Amount 30067.97
Average Age Of Beneficiaries 73
Number Of Beneficiaries Age Less65 16
Number Of Beneficiaries Age 65 to 74 84
Number Of Beneficiaries Age 75 to 84 33
Number Of Beneficiaries Age Greater 84 22
Number Of Female Beneficiaries 88
Number Of Male Beneficiaries 67
Number Of Non Hispanic White Beneficiaries
Number Of Black or African American Beneficiaries
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 118
Number Of Beneficiaries With Medicare Medicaid Entitlement 37
Percent Of With Atrial Fibrillation 11
Percent Of With Alzheimers Disease or Dementia 10
Percent Of With Asthma
Percent Of With Cancer 10
Percent Of With Heart Failure 19
Percent Of With Chronic Kidney Disease 19
Percent Of With Chronic Obstructive Pulmonary Disease 17
Percent Of With Depression 20
Percent Of With Diabetes 39
Percent Of With Hyperlipidemia 69
Percent Of With Hypertension 74
Percent Of With Ischemic Heart Disease 36
Percent Of With Osteoporosis 8
Percent Of With Rheumatoid Arthritis Osteoarthritis 37
Percent Of With Schizophrenia Other PsychoticDisorders
Percent Of With Stroke
Average HCC Risk Score Of Beneficiaries 1.0723

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