National Provider Identifier [NPI]: |
1811050305 |
Last Name Of The Provider |
OEHLER |
First Name Of The Provider |
TERRY |
Middle Initial Of The Provider |
L |
Credentials Of The Provider |
DPM |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
8753 YATES DR |
Street Address 2 Of The Provider |
UNIT 110 |
City Of The Provider |
WESTMINSTER |
Zip Code Of The Provider |
800316947 |
State Code Of The Provider |
CO |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Podiatry |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
23 |
Number Of Services |
2101 |
Number Of Medicare Beneficiaries |
919 |
Total Submitted Charge Amount |
143914.5 |
Total Medicare Allowed Amount |
77658.01 |
Total Medicare Payment Amount |
59092.05 |
Total Medicare Standardized Payment Amount |
59413.1 |
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 |
23 |
Number Of Medical Services |
2101 |
Number Of Medicare Beneficiaries With Medical Services |
919 |
Total Medical Submitted Charge Amount |
143914.5 |
Total Medical Medicare Allowed Amount |
77658.01 |
Total Medical Medicare Payment Amount |
59092.05 |
Total Medical Medicare Standardized Payment Amount |
59413.1 |
Average Age Of Beneficiaries |
83 |
Number Of Beneficiaries Age Less65 |
70 |
Number Of Beneficiaries Age 65 to 74 |
123 |
Number Of Beneficiaries Age 75 to 84 |
225 |
Number Of Beneficiaries Age Greater 84 |
501 |
Number Of Female Beneficiaries |
605 |
Number Of Male Beneficiaries |
314 |
Number Of Non Hispanic White Beneficiaries |
780 |
Number Of Black or African American Beneficiaries |
46 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
71 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
384 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
535 |
Percent Of With Atrial Fibrillation |
18 |
Percent Of With Alzheimers Disease or Dementia |
72 |
Percent Of With Asthma |
5 |
Percent Of With Cancer |
7 |
Percent Of With Heart Failure |
38 |
Percent Of With Chronic Kidney Disease |
40 |
Percent Of With Chronic Obstructive Pulmonary Disease |
22 |
Percent Of With Depression |
49 |
Percent Of With Diabetes |
31 |
Percent Of With Hyperlipidemia |
31 |
Percent Of With Hypertension |
69 |
Percent Of With Ischemic Heart Disease |
35 |
Percent Of With Osteoporosis |
16 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
50 |
Percent Of With Schizophrenia Other PsychoticDisorders |
19 |
Percent Of With Stroke |
9 |
Average HCC Risk Score Of Beneficiaries |
2.0305 |