Medicare Facts for Lyle S. Shrifter, MSW


National Provider Identifier [NPI]: 1124174412
Last Name Of The Provider SHRIFTER
First Name Of The Provider LYLE
Middle Initial Of The Provider S
Credentials Of The Provider MSW.
Gender Of The Provider M
Entity Type Of The Provider I
Street Address 1 Of The Provider 410 N 9TH ST
Street Address 2 Of The Provider
City Of The Provider KLAMATH FALLS
Zip Code Of The Provider 976012805
State Code Of The Provider OR
Country Code Of The Provider US
Provider Type Of The Provider Licensed Clinical Social Worker
Medicare Participation Indicator Y
Number Of HCPCS 4
Number Of Services 146
Number Of Medicare Beneficiaries 11
Total Submitted Charge Amount 14600
Total Medicare Allowed Amount 9464.36
Total Medicare Payment Amount 7346.71
Total Medicare Standardized Payment Amount 7465.71
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 4
Number Of Medical Services 146
Number Of Medicare Beneficiaries With Medical Services 11
Total Medical Submitted Charge Amount 14600
Total Medical Medicare Allowed Amount 9464.36
Total Medical Medicare Payment Amount 7346.71
Total Medical Medicare Standardized Payment Amount 7465.71
Average Age Of Beneficiaries 64
Number Of Beneficiaries Age Less65
Number Of Beneficiaries Age 65 to 74
Number Of Beneficiaries Age 75 to 84
Number Of Beneficiaries Age Greater 84 0
Number Of Female Beneficiaries
Number Of Male Beneficiaries
Number Of Non Hispanic White Beneficiaries
Number Of Black or African American Beneficiaries 0
Number Of AsianPacific Islander Beneficiaries 0
Number Of Hispanic Beneficiaries 0
Number Of American Indian Alaska Native Beneficiaries
Number Of Beneficiaries With Race Not Else where Classified 0
Number Of Beneficiaries With Medicare Only Entitlement 11
Number Of Beneficiaries With Medicare Medicaid Entitlement 0
Percent Of With Atrial Fibrillation
Percent Of With Alzheimers Disease or Dementia
Percent Of With Asthma
Percent Of With Cancer
Percent Of With Heart Failure
Percent Of With Chronic Kidney Disease
Percent Of With Chronic Obstructive Pulmonary Disease
Percent Of With Depression
Percent Of With Diabetes
Percent Of With Hyperlipidemia
Percent Of With Hypertension
Percent Of With Ischemic Heart Disease
Percent Of With Osteoporosis
Percent Of With Rheumatoid Arthritis Osteoarthritis
Percent Of With Schizophrenia Other PsychoticDisorders
Percent Of With Stroke 0
Average HCC Risk Score Of Beneficiaries 2.0832

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