Medicare Facts for Dr. David Zack, DO


National Provider Identifier [NPI]: 1407955008
Last Name Of The Provider ZACK
First Name Of The Provider DAVID
Middle Initial Of The Provider
Credentials Of The Provider D.O.
Gender Of The Provider M
Entity Type Of The Provider I
Street Address 1 Of The Provider 4841 MONROE ST
Street Address 2 Of The Provider SUITE 110
City Of The Provider TOLEDO
Zip Code Of The Provider 436234385
State Code Of The Provider OH
Country Code Of The Provider US
Provider Type Of The Provider Gastroenterology
Medicare Participation Indicator Y
Number Of HCPCS 48
Number Of Services 1130
Number Of Medicare Beneficiaries 551
Total Submitted Charge Amount 488234
Total Medicare Allowed Amount 138227.67
Total Medicare Payment Amount 104526.98
Total Medicare Standardized Payment Amount 106295.36
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 48
Number Of Medical Services 1130
Number Of Medicare Beneficiaries With Medical Services 551
Total Medical Submitted Charge Amount 488234
Total Medical Medicare Allowed Amount 138227.67
Total Medical Medicare Payment Amount 104526.98
Total Medical Medicare Standardized Payment Amount 106295.36
Average Age Of Beneficiaries 70
Number Of Beneficiaries Age Less65 114
Number Of Beneficiaries Age 65 to 74 254
Number Of Beneficiaries Age 75 to 84 132
Number Of Beneficiaries Age Greater 84 51
Number Of Female Beneficiaries 302
Number Of Male Beneficiaries 249
Number Of Non Hispanic White Beneficiaries 442
Number Of Black or African American Beneficiaries 78
Number Of AsianPacific Islander Beneficiaries
Number Of Hispanic Beneficiaries 17
Number Of American Indian Alaska Native Beneficiaries
Number Of Beneficiaries With Race Not Else where Classified
Number Of Beneficiaries With Medicare Only Entitlement 398
Number Of Beneficiaries With Medicare Medicaid Entitlement 153
Percent Of With Atrial Fibrillation 16
Percent Of With Alzheimers Disease or Dementia 12
Percent Of With Asthma 12
Percent Of With Cancer 13
Percent Of With Heart Failure 34
Percent Of With Chronic Kidney Disease 37
Percent Of With Chronic Obstructive Pulmonary Disease 28
Percent Of With Depression 32
Percent Of With Diabetes 42
Percent Of With Hyperlipidemia 63
Percent Of With Hypertension 75
Percent Of With Ischemic Heart Disease 44
Percent Of With Osteoporosis 9
Percent Of With Rheumatoid Arthritis Osteoarthritis 44
Percent Of With Schizophrenia Other PsychoticDisorders 8
Percent Of With Stroke 9
Average HCC Risk Score Of Beneficiaries 1.7914

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