Medicare Facts for Brian T. Sundahl, PT


National Provider Identifier [NPI]: 1790729952
Last Name Of The Provider SUNDAHL
First Name Of The Provider BRIAN
Middle Initial Of The Provider T
Credentials Of The Provider DPT
Gender Of The Provider M
Entity Type Of The Provider I
Street Address 1 Of The Provider 372 SOUTH BROADWAY
Street Address 2 Of The Provider
City Of The Provider ESTACADA
Zip Code Of The Provider 97023
State Code Of The Provider OR
Country Code Of The Provider US
Provider Type Of The Provider Physical Therapist
Medicare Participation Indicator Y
Number Of HCPCS 6
Number Of Services 1482
Number Of Medicare Beneficiaries 47
Total Submitted Charge Amount 76642
Total Medicare Allowed Amount 35134.32
Total Medicare Payment Amount 25535.03
Total Medicare Standardized Payment Amount 14014.86
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 6
Number Of Medical Services 1482
Number Of Medicare Beneficiaries With Medical Services 47
Total Medical Submitted Charge Amount 76642
Total Medical Medicare Allowed Amount 35134.32
Total Medical Medicare Payment Amount 25535.03
Total Medical Medicare Standardized Payment Amount 14014.86
Average Age Of Beneficiaries 69
Number Of Beneficiaries Age Less65
Number Of Beneficiaries Age 65 to 74 25
Number Of Beneficiaries Age 75 to 84
Number Of Beneficiaries Age Greater 84
Number Of Female Beneficiaries 29
Number Of Male Beneficiaries 18
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 30
Percent Of With Diabetes
Percent Of With Hyperlipidemia 49
Percent Of With Hypertension 47
Percent Of With Ischemic Heart Disease 26
Percent Of With Osteoporosis
Percent Of With Rheumatoid Arthritis Osteoarthritis 57
Percent Of With Schizophrenia Other PsychoticDisorders
Percent Of With Stroke
Average HCC Risk Score Of Beneficiaries 0.7874

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