Medicare Facts for Dale J. Moser


National Provider Identifier [NPI]: 1972691202
Last Name Of The Provider MOSER
First Name Of The Provider DALE
Middle Initial Of The Provider J
Credentials Of The Provider
Gender Of The Provider M
Entity Type Of The Provider I
Street Address 1 Of The Provider 1520 B N MCEWAN ST.
Street Address 2 Of The Provider
City Of The Provider CLARE
Zip Code Of The Provider 486171116
State Code Of The Provider MI
Country Code Of The Provider US
Provider Type Of The Provider Optometry
Medicare Participation Indicator Y
Number Of HCPCS 11
Number Of Services 179
Number Of Medicare Beneficiaries 162
Total Submitted Charge Amount 15806
Total Medicare Allowed Amount 13729.03
Total Medicare Payment Amount 8738.09
Total Medicare Standardized Payment Amount 9348.94
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 11
Number Of Medical Services 179
Number Of Medicare Beneficiaries With Medical Services 162
Total Medical Submitted Charge Amount 15806
Total Medical Medicare Allowed Amount 13729.03
Total Medical Medicare Payment Amount 8738.09
Total Medical Medicare Standardized Payment Amount 9348.94
Average Age Of Beneficiaries 75
Number Of Beneficiaries Age Less65
Number Of Beneficiaries Age 65 to 74 66
Number Of Beneficiaries Age 75 to 84 66
Number Of Beneficiaries Age Greater 84
Number Of Female Beneficiaries 91
Number Of Male Beneficiaries 71
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 12
Percent Of With Alzheimers Disease or Dementia
Percent Of With Asthma
Percent Of With Cancer 13
Percent Of With Heart Failure 15
Percent Of With Chronic Kidney Disease 16
Percent Of With Chronic Obstructive Pulmonary Disease 15
Percent Of With Depression 11
Percent Of With Diabetes 33
Percent Of With Hyperlipidemia 59
Percent Of With Hypertension 58
Percent Of With Ischemic Heart Disease 37
Percent Of With Osteoporosis
Percent Of With Rheumatoid Arthritis Osteoarthritis 32
Percent Of With Schizophrenia Other PsychoticDisorders
Percent Of With Stroke
Average HCC Risk Score Of Beneficiaries 0.9074

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