Medicare Facts for Dr. Douglas D. Pflaum, MD


National Provider Identifier [NPI]: 1538145156
Last Name Of The Provider PFLAUM
First Name Of The Provider DOUGLAS
Middle Initial Of The Provider D
Credentials Of The Provider M.D.
Gender Of The Provider M
Entity Type Of The Provider I
Street Address 1 Of The Provider 507 W DOUGHTY ST
Street Address 2 Of The Provider
City Of The Provider LAKE CITY
Zip Code Of The Provider 550411500
State Code Of The Provider MN
Country Code Of The Provider US
Provider Type Of The Provider Family Practice
Medicare Participation Indicator Y
Number Of HCPCS 113
Number Of Services 2427
Number Of Medicare Beneficiaries 181
Total Submitted Charge Amount 200695
Total Medicare Allowed Amount 84534.95
Total Medicare Payment Amount 61672.34
Total Medicare Standardized Payment Amount 63001.05
Drug Suppress Indicator
Number Of HCPCS Associated With Drug Services 11
Number Of Drug Services 589
Number Of Medicare Beneficiaries With Drug Services 79
Total Drug Submitted ChargeAmount 12555
Total Drug Medicare AllowedAmount 1738.15
Total Drug Medicare PaymentAmount 1573.54
Total Drug Medicare Standardized Payment Amount 1573.54
Medical SuppressIndicator
Number Of HCPCS Associated With MedicalServices 102
Number Of Medical Services 1838
Number Of Medicare Beneficiaries With Medical Services 181
Total Medical Submitted Charge Amount 188140
Total Medical Medicare Allowed Amount 82796.8
Total Medical Medicare Payment Amount 60098.8
Total Medical Medicare Standardized Payment Amount 61427.51
Average Age Of Beneficiaries 74
Number Of Beneficiaries Age Less65 26
Number Of Beneficiaries Age 65 to 74 65
Number Of Beneficiaries Age 75 to 84 45
Number Of Beneficiaries Age Greater 84 45
Number Of Female Beneficiaries 101
Number Of Male Beneficiaries 80
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 154
Number Of Beneficiaries With Medicare Medicaid Entitlement 27
Percent Of With Atrial Fibrillation 8
Percent Of With Alzheimers Disease or Dementia 11
Percent Of With Asthma
Percent Of With Cancer 8
Percent Of With Heart Failure 13
Percent Of With Chronic Kidney Disease 15
Percent Of With Chronic Obstructive Pulmonary Disease 13
Percent Of With Depression 13
Percent Of With Diabetes 28
Percent Of With Hyperlipidemia 24
Percent Of With Hypertension 43
Percent Of With Ischemic Heart Disease 25
Percent Of With Osteoporosis
Percent Of With Rheumatoid Arthritis Osteoarthritis 29
Percent Of With Schizophrenia Other PsychoticDisorders
Percent Of With Stroke
Average HCC Risk Score Of Beneficiaries 0.8888

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