Medicare Facts for Dr. Esla S. Speth, OD


National Provider Identifier [NPI]: 1033424437
Last Name Of The Provider SPETH
First Name Of The Provider ESLA
Middle Initial Of The Provider S
Credentials Of The Provider O.D.
Gender Of The Provider F
Entity Type Of The Provider I
Street Address 1 Of The Provider 1225 MADISON AVE
Street Address 2 Of The Provider
City Of The Provider MEMPHIS
Zip Code Of The Provider 381042211
State Code Of The Provider TN
Country Code Of The Provider US
Provider Type Of The Provider Optometry
Medicare Participation Indicator Y
Number Of HCPCS 17
Number Of Services 118
Number Of Medicare Beneficiaries 73
Total Submitted Charge Amount 8901
Total Medicare Allowed Amount 8685.5
Total Medicare Payment Amount 5343.17
Total Medicare Standardized Payment Amount 6678.1
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 17
Number Of Medical Services 118
Number Of Medicare Beneficiaries With Medical Services 73
Total Medical Submitted Charge Amount 8901
Total Medical Medicare Allowed Amount 8685.5
Total Medical Medicare Payment Amount 5343.17
Total Medical Medicare Standardized Payment Amount 6678.1
Average Age Of Beneficiaries 76
Number Of Beneficiaries Age Less65 16
Number Of Beneficiaries Age 65 to 74 15
Number Of Beneficiaries Age 75 to 84 13
Number Of Beneficiaries Age Greater 84 29
Number Of Female Beneficiaries 51
Number Of Male Beneficiaries 22
Number Of Non Hispanic White Beneficiaries 39
Number Of Black or African American Beneficiaries 34
Number Of AsianPacific Islander Beneficiaries 0
Number Of Hispanic Beneficiaries 0
Number Of American Indian Alaska Native Beneficiaries 0
Number Of Beneficiaries With Race Not Else where Classified 0
Number Of Beneficiaries With Medicare Only Entitlement 37
Number Of Beneficiaries With Medicare Medicaid Entitlement 36
Percent Of With Atrial Fibrillation
Percent Of With Alzheimers Disease or Dementia 34
Percent Of With Asthma
Percent Of With Cancer
Percent Of With Heart Failure 18
Percent Of With Chronic Kidney Disease 27
Percent Of With Chronic Obstructive Pulmonary Disease
Percent Of With Depression 30
Percent Of With Diabetes 32
Percent Of With Hyperlipidemia 33
Percent Of With Hypertension 75
Percent Of With Ischemic Heart Disease 32
Percent Of With Osteoporosis
Percent Of With Rheumatoid Arthritis Osteoarthritis 58
Percent Of With Schizophrenia Other PsychoticDisorders
Percent Of With Stroke
Average HCC Risk Score Of Beneficiaries 1.423

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