Medicare Facts for Dr. Debra R. Renner, OD


National Provider Identifier [NPI]: 1013072966
Last Name Of The Provider RENNER
First Name Of The Provider DEBRA
Middle Initial Of The Provider R
Credentials Of The Provider O.D.
Gender Of The Provider F
Entity Type Of The Provider I
Street Address 1 Of The Provider 1400 FORUM BLVD
Street Address 2 Of The Provider
City Of The Provider COLUMBIA
Zip Code Of The Provider 652031997
State Code Of The Provider MO
Country Code Of The Provider US
Provider Type Of The Provider Optometry
Medicare Participation Indicator Y
Number Of HCPCS 11
Number Of Services 61
Number Of Medicare Beneficiaries 53
Total Submitted Charge Amount 8520.6
Total Medicare Allowed Amount 7009.66
Total Medicare Payment Amount 4529.65
Total Medicare Standardized Payment Amount 5018.38
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 61
Number Of Medicare Beneficiaries With Medical Services 53
Total Medical Submitted Charge Amount 8520.6
Total Medical Medicare Allowed Amount 7009.66
Total Medical Medicare Payment Amount 4529.65
Total Medical Medicare Standardized Payment Amount 5018.38
Average Age Of Beneficiaries 60
Number Of Beneficiaries Age Less65 29
Number Of Beneficiaries Age 65 to 74
Number Of Beneficiaries Age 75 to 84
Number Of Beneficiaries Age Greater 84
Number Of Female Beneficiaries 30
Number Of Male Beneficiaries 23
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 14
Number Of Beneficiaries With Medicare Medicaid Entitlement 39
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 21
Percent Of With Chronic Obstructive Pulmonary Disease
Percent Of With Depression 34
Percent Of With Diabetes 42
Percent Of With Hyperlipidemia 36
Percent Of With Hypertension 62
Percent Of With Ischemic Heart Disease 25
Percent Of With Osteoporosis
Percent Of With Rheumatoid Arthritis Osteoarthritis 26
Percent Of With Schizophrenia Other PsychoticDisorders
Percent Of With Stroke
Average HCC Risk Score Of Beneficiaries 1.367

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