Medicare Facts for Dr. John A. Fenstermaker, DO


National Provider Identifier [NPI]: 1548581390
Last Name Of The Provider FENSTERMAKER
First Name Of The Provider JOHN
Middle Initial Of The Provider A
Credentials Of The Provider D.O.
Gender Of The Provider M
Entity Type Of The Provider I
Street Address 1 Of The Provider 1951 BENCH RD
Street Address 2 Of The Provider SUITE B
City Of The Provider POCATELLO
Zip Code Of The Provider 832012013
State Code Of The Provider ID
Country Code Of The Provider US
Provider Type Of The Provider Family Practice
Medicare Participation Indicator Y
Number Of HCPCS 102
Number Of Services 2709
Number Of Medicare Beneficiaries 450
Total Submitted Charge Amount 189620.5
Total Medicare Allowed Amount 99449.98
Total Medicare Payment Amount 74357
Total Medicare Standardized Payment Amount 79802.14
Drug Suppress Indicator
Number Of HCPCS Associated With Drug Services 16
Number Of Drug Services 1055
Number Of Medicare Beneficiaries With Drug Services 68
Total Drug Submitted ChargeAmount 16254.5
Total Drug Medicare AllowedAmount 12650.69
Total Drug Medicare PaymentAmount 10130.96
Total Drug Medicare Standardized Payment Amount 10130.96
Medical SuppressIndicator
Number Of HCPCS Associated With MedicalServices 86
Number Of Medical Services 1654
Number Of Medicare Beneficiaries With Medical Services 450
Total Medical Submitted Charge Amount 173366
Total Medical Medicare Allowed Amount 86799.29
Total Medical Medicare Payment Amount 64226.04
Total Medical Medicare Standardized Payment Amount 69671.18
Average Age Of Beneficiaries 70
Number Of Beneficiaries Age Less65 112
Number Of Beneficiaries Age 65 to 74 148
Number Of Beneficiaries Age 75 to 84 129
Number Of Beneficiaries Age Greater 84 61
Number Of Female Beneficiaries 268
Number Of Male Beneficiaries 182
Number Of Non Hispanic White Beneficiaries 414
Number Of Black or African American Beneficiaries
Number Of AsianPacific Islander Beneficiaries
Number Of Hispanic Beneficiaries 21
Number Of American Indian Alaska Native Beneficiaries
Number Of Beneficiaries With Race Not Else where Classified
Number Of Beneficiaries With Medicare Only Entitlement 281
Number Of Beneficiaries With Medicare Medicaid Entitlement 169
Percent Of With Atrial Fibrillation 13
Percent Of With Alzheimers Disease or Dementia 15
Percent Of With Asthma 13
Percent Of With Cancer 6
Percent Of With Heart Failure 27
Percent Of With Chronic Kidney Disease 29
Percent Of With Chronic Obstructive Pulmonary Disease 16
Percent Of With Depression 41
Percent Of With Diabetes 37
Percent Of With Hyperlipidemia 38
Percent Of With Hypertension 61
Percent Of With Ischemic Heart Disease 29
Percent Of With Osteoporosis 15
Percent Of With Rheumatoid Arthritis Osteoarthritis 40
Percent Of With Schizophrenia Other PsychoticDisorders 9
Percent Of With Stroke 6
Average HCC Risk Score Of Beneficiaries 1.6068

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