Medicare Facts for Dennis Zylstra


National Provider Identifier [NPI]: 1134192263
Last Name Of The Provider ZYLSTRA
First Name Of The Provider DENNIS
Middle Initial Of The Provider
Credentials Of The Provider
Gender Of The Provider M
Entity Type Of The Provider I
Street Address 1 Of The Provider 1018 GRAND AVE
Street Address 2 Of The Provider
City Of The Provider SPENCER
Zip Code Of The Provider 513013632
State Code Of The Provider IA
Country Code Of The Provider US
Provider Type Of The Provider Chiropractic
Medicare Participation Indicator Y
Number Of HCPCS 2
Number Of Services 330
Number Of Medicare Beneficiaries 40
Total Submitted Charge Amount 11040
Total Medicare Allowed Amount 11040
Total Medicare Payment Amount 7676.32
Total Medicare Standardized Payment Amount 9508.54
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 2
Number Of Medical Services 330
Number Of Medicare Beneficiaries With Medical Services 40
Total Medical Submitted Charge Amount 11040
Total Medical Medicare Allowed Amount 11040
Total Medical Medicare Payment Amount 7676.32
Total Medical Medicare Standardized Payment Amount 9508.54
Average Age Of Beneficiaries 74
Number Of Beneficiaries Age Less65
Number Of Beneficiaries Age 65 to 74 15
Number Of Beneficiaries Age 75 to 84 13
Number Of Beneficiaries Age Greater 84
Number Of Female Beneficiaries 19
Number Of Male Beneficiaries 21
Number Of Non Hispanic White Beneficiaries 40
Number Of Black or African American Beneficiaries 0
Number Of AsianPacific Islander Beneficiaries 0
Number Of Hispanic Beneficiaries 0
Number Of American Indian Alaska Native Beneficiaries 0
Number Of Beneficiaries With Race Not Else where Classified 0
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
Percent Of With Diabetes
Percent Of With Hyperlipidemia 43
Percent Of With Hypertension 63
Percent Of With Ischemic Heart Disease
Percent Of With Osteoporosis
Percent Of With Rheumatoid Arthritis Osteoarthritis
Percent Of With Schizophrenia Other PsychoticDisorders
Percent Of With Stroke 0
Average HCC Risk Score Of Beneficiaries 1.1721

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