Medicare Facts for Dr. Roger M. Setzler, MD


National Provider Identifier [NPI]: 1639179062
Last Name Of The Provider SETZLER
First Name Of The Provider ROGER
Middle Initial Of The Provider M
Credentials Of The Provider MD
Gender Of The Provider M
Entity Type Of The Provider I
Street Address 1 Of The Provider 3610 SPRINGHILL MEMORIAL DR N
Street Address 2 Of The Provider
City Of The Provider MOBILE
Zip Code Of The Provider 366081162
State Code Of The Provider AL
Country Code Of The Provider US
Provider Type Of The Provider Orthopedic Surgery
Medicare Participation Indicator Y
Number Of HCPCS 135
Number Of Services 3366
Number Of Medicare Beneficiaries 370
Total Submitted Charge Amount 457590
Total Medicare Allowed Amount 162074.03
Total Medicare Payment Amount 116452.56
Total Medicare Standardized Payment Amount 129777.66
Drug Suppress Indicator
Number Of HCPCS Associated With Drug Services 4
Number Of Drug Services 1609
Number Of Medicare Beneficiaries With Drug Services 143
Total Drug Submitted ChargeAmount 35133
Total Drug Medicare AllowedAmount 17054.57
Total Drug Medicare PaymentAmount 11947.74
Total Drug Medicare Standardized Payment Amount 11947.74
Medical SuppressIndicator
Number Of HCPCS Associated With MedicalServices 131
Number Of Medical Services 1757
Number Of Medicare Beneficiaries With Medical Services 370
Total Medical Submitted Charge Amount 422457
Total Medical Medicare Allowed Amount 145019.46
Total Medical Medicare Payment Amount 104504.82
Total Medical Medicare Standardized Payment Amount 117829.92
Average Age Of Beneficiaries 69
Number Of Beneficiaries Age Less65 92
Number Of Beneficiaries Age 65 to 74 145
Number Of Beneficiaries Age 75 to 84 102
Number Of Beneficiaries Age Greater 84 31
Number Of Female Beneficiaries 246
Number Of Male Beneficiaries 124
Number Of Non Hispanic White Beneficiaries 250
Number Of Black or African American Beneficiaries 109
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 299
Number Of Beneficiaries With Medicare Medicaid Entitlement 71
Percent Of With Atrial Fibrillation 10
Percent Of With Alzheimers Disease or Dementia 9
Percent Of With Asthma 8
Percent Of With Cancer 9
Percent Of With Heart Failure 19
Percent Of With Chronic Kidney Disease 24
Percent Of With Chronic Obstructive Pulmonary Disease 15
Percent Of With Depression 18
Percent Of With Diabetes 40
Percent Of With Hyperlipidemia 56
Percent Of With Hypertension 75
Percent Of With Ischemic Heart Disease 39
Percent Of With Osteoporosis 9
Percent Of With Rheumatoid Arthritis Osteoarthritis 72
Percent Of With Schizophrenia Other PsychoticDisorders
Percent Of With Stroke 5
Average HCC Risk Score Of Beneficiaries 1.1963

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