Medicare Facts for Dr. John Butler, PHD


National Provider Identifier [NPI]: 1417956632
Last Name Of The Provider BUTLER
First Name Of The Provider JOHN
Middle Initial Of The Provider
Credentials Of The Provider LMSW, ACP, PH.D.
Gender Of The Provider M
Entity Type Of The Provider I
Street Address 1 Of The Provider 1808 ROSE ST
Street Address 2 Of The Provider
City Of The Provider WICHITA FALLS
Zip Code Of The Provider 763014219
State Code Of The Provider TX
Country Code Of The Provider US
Provider Type Of The Provider Licensed Clinical Social Worker
Medicare Participation Indicator Y
Number Of HCPCS 3
Number Of Services 182
Number Of Medicare Beneficiaries 24
Total Submitted Charge Amount 22450
Total Medicare Allowed Amount 11365.06
Total Medicare Payment Amount 8238.42
Total Medicare Standardized Payment Amount 8399.86
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 3
Number Of Medical Services 182
Number Of Medicare Beneficiaries With Medical Services 24
Total Medical Submitted Charge Amount 22450
Total Medical Medicare Allowed Amount 11365.06
Total Medical Medicare Payment Amount 8238.42
Total Medical Medicare Standardized Payment Amount 8399.86
Average Age Of Beneficiaries 61
Number Of Beneficiaries Age Less65 11
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
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
Number Of Beneficiaries With Medicare Medicaid Entitlement
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 71
Percent Of With Diabetes
Percent Of With Hyperlipidemia 63
Percent Of With Hypertension 71
Percent Of With Ischemic Heart Disease
Percent Of With Osteoporosis 0
Percent Of With Rheumatoid Arthritis Osteoarthritis
Percent Of With Schizophrenia Other PsychoticDisorders
Percent Of With Stroke
Average HCC Risk Score Of Beneficiaries 1.1178

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