Medicare Facts for Dr. Austin D. Potter, OD


National Provider Identifier [NPI]: 1508870742
Last Name Of The Provider POTTER
First Name Of The Provider AUSTIN
Middle Initial Of The Provider D
Credentials Of The Provider O.D.
Gender Of The Provider M
Entity Type Of The Provider I
Street Address 1 Of The Provider 5953 W BROADWAY
Street Address 2 Of The Provider
City Of The Provider MC CORDSVILLE
Zip Code Of The Provider 460559355
State Code Of The Provider IN
Country Code Of The Provider US
Provider Type Of The Provider Optometry
Medicare Participation Indicator Y
Number Of HCPCS 12
Number Of Services 109
Number Of Medicare Beneficiaries 84
Total Submitted Charge Amount 8472.25
Total Medicare Allowed Amount 8128.31
Total Medicare Payment Amount 5505.27
Total Medicare Standardized Payment Amount 7782.81
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 12
Number Of Medical Services 109
Number Of Medicare Beneficiaries With Medical Services 84
Total Medical Submitted Charge Amount 8472.25
Total Medical Medicare Allowed Amount 8128.31
Total Medical Medicare Payment Amount 5505.27
Total Medical Medicare Standardized Payment Amount 7782.81
Average Age Of Beneficiaries 69
Number Of Beneficiaries Age Less65
Number Of Beneficiaries Age 65 to 74 45
Number Of Beneficiaries Age 75 to 84 20
Number Of Beneficiaries Age Greater 84
Number Of Female Beneficiaries 52
Number Of Male Beneficiaries 32
Number Of Non Hispanic White Beneficiaries 72
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 67
Number Of Beneficiaries With Medicare Medicaid Entitlement 17
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 13
Percent Of With Chronic Obstructive Pulmonary Disease
Percent Of With Depression 18
Percent Of With Diabetes 25
Percent Of With Hyperlipidemia 39
Percent Of With Hypertension 58
Percent Of With Ischemic Heart Disease 24
Percent Of With Osteoporosis
Percent Of With Rheumatoid Arthritis Osteoarthritis 37
Percent Of With Schizophrenia Other PsychoticDisorders
Percent Of With Stroke
Average HCC Risk Score Of Beneficiaries 0.9057

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