Medicare Facts for Dr. Douglas I. Vis, DPM


National Provider Identifier [NPI]: 1740266410
Last Name Of The Provider VIS
First Name Of The Provider DOUGLAS
Middle Initial Of The Provider I
Credentials Of The Provider DPM
Gender Of The Provider M
Entity Type Of The Provider I
Street Address 1 Of The Provider 3903 LAKE AVE
Street Address 2 Of The Provider
City Of The Provider ASHTABULA
Zip Code Of The Provider 440045833
State Code Of The Provider OH
Country Code Of The Provider US
Provider Type Of The Provider Podiatry
Medicare Participation Indicator Y
Number Of HCPCS 32
Number Of Services 5342
Number Of Medicare Beneficiaries 807
Total Submitted Charge Amount 228234.46
Total Medicare Allowed Amount 213885.66
Total Medicare Payment Amount 151129.18
Total Medicare Standardized Payment Amount 157095.24
Drug Suppress Indicator *
Number Of HCPCS Associated With Drug Services
Number Of Drug Services
Number Of Medicare Beneficiaries With Drug Services
Total Drug Submitted ChargeAmount
Total Drug Medicare AllowedAmount
Total Drug Medicare PaymentAmount
Total Drug Medicare Standardized Payment Amount
Medical SuppressIndicator #
Number Of HCPCS Associated With MedicalServices
Number Of Medical Services
Number Of Medicare Beneficiaries With Medical Services
Total Medical Submitted Charge Amount
Total Medical Medicare Allowed Amount
Total Medical Medicare Payment Amount
Total Medical Medicare Standardized Payment Amount
Average Age Of Beneficiaries 77
Number Of Beneficiaries Age Less65 168
Number Of Beneficiaries Age 65 to 74 115
Number Of Beneficiaries Age 75 to 84 190
Number Of Beneficiaries Age Greater 84 334
Number Of Female Beneficiaries 506
Number Of Male Beneficiaries 301
Number Of Non Hispanic White Beneficiaries 758
Number Of Black or African American Beneficiaries 34
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 302
Number Of Beneficiaries With Medicare Medicaid Entitlement 505
Percent Of With Atrial Fibrillation 16
Percent Of With Alzheimers Disease or Dementia 55
Percent Of With Asthma 8
Percent Of With Cancer 8
Percent Of With Heart Failure 45
Percent Of With Chronic Kidney Disease 33
Percent Of With Chronic Obstructive Pulmonary Disease 27
Percent Of With Depression 54
Percent Of With Diabetes 46
Percent Of With Hyperlipidemia 51
Percent Of With Hypertension 75
Percent Of With Ischemic Heart Disease 49
Percent Of With Osteoporosis 16
Percent Of With Rheumatoid Arthritis Osteoarthritis 49
Percent Of With Schizophrenia Other PsychoticDisorders 29
Percent Of With Stroke 10
Average HCC Risk Score Of Beneficiaries 2.2965

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