Medicare Facts for Dr. Andre T. Le, OD


National Provider Identifier [NPI]: 1073566022
Last Name Of The Provider LE
First Name Of The Provider ANDRE
Middle Initial Of The Provider T
Credentials Of The Provider O.D.
Gender Of The Provider M
Entity Type Of The Provider I
Street Address 1 Of The Provider 312 E RENFRO ST STE 107
Street Address 2 Of The Provider
City Of The Provider BURLESON
Zip Code Of The Provider 760288161
State Code Of The Provider TX
Country Code Of The Provider US
Provider Type Of The Provider Optometry
Medicare Participation Indicator Y
Number Of HCPCS 9
Number Of Services 122
Number Of Medicare Beneficiaries 54
Total Submitted Charge Amount 14731
Total Medicare Allowed Amount 11158.6
Total Medicare Payment Amount 7972.46
Total Medicare Standardized Payment Amount 8179.41
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 9
Number Of Medical Services 122
Number Of Medicare Beneficiaries With Medical Services 54
Total Medical Submitted Charge Amount 14731
Total Medical Medicare Allowed Amount 11158.6
Total Medical Medicare Payment Amount 7972.46
Total Medical Medicare Standardized Payment Amount 8179.41
Average Age Of Beneficiaries 68
Number Of Beneficiaries Age Less65
Number Of Beneficiaries Age 65 to 74 31
Number Of Beneficiaries Age 75 to 84 11
Number Of Beneficiaries Age Greater 84
Number Of Female Beneficiaries 28
Number Of Male Beneficiaries 26
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
Percent Of With Diabetes 26
Percent Of With Hyperlipidemia 44
Percent Of With Hypertension 46
Percent Of With Ischemic Heart Disease 20
Percent Of With Osteoporosis
Percent Of With Rheumatoid Arthritis Osteoarthritis 28
Percent Of With Schizophrenia Other PsychoticDisorders
Percent Of With Stroke 0
Average HCC Risk Score Of Beneficiaries 1.0724

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