Medicare Facts for Dr. Destin R. Coles, OD


National Provider Identifier [NPI]: 1275695025
Last Name Of The Provider COLES
First Name Of The Provider DESTIN
Middle Initial Of The Provider R
Credentials Of The Provider O.D.
Gender Of The Provider M
Entity Type Of The Provider I
Street Address 1 Of The Provider 421 DEMERS AVE
Street Address 2 Of The Provider
City Of The Provider EAST GRAND FORKS
Zip Code Of The Provider 567211835
State Code Of The Provider MN
Country Code Of The Provider US
Provider Type Of The Provider Optometry
Medicare Participation Indicator Y
Number Of HCPCS 10
Number Of Services 1036
Number Of Medicare Beneficiaries 178
Total Submitted Charge Amount 42615
Total Medicare Allowed Amount 29979.43
Total Medicare Payment Amount 20503.3
Total Medicare Standardized Payment Amount 20885.33
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 10
Number Of Medical Services 1036
Number Of Medicare Beneficiaries With Medical Services 178
Total Medical Submitted Charge Amount 42615
Total Medical Medicare Allowed Amount 29979.43
Total Medical Medicare Payment Amount 20503.3
Total Medical Medicare Standardized Payment Amount 20885.33
Average Age Of Beneficiaries 66
Number Of Beneficiaries Age Less65 73
Number Of Beneficiaries Age 65 to 74 60
Number Of Beneficiaries Age 75 to 84 27
Number Of Beneficiaries Age Greater 84 18
Number Of Female Beneficiaries 88
Number Of Male Beneficiaries 90
Number Of Non Hispanic White Beneficiaries 150
Number Of Black or African American Beneficiaries
Number Of AsianPacific Islander Beneficiaries 0
Number Of Hispanic Beneficiaries 15
Number Of American Indian Alaska Native Beneficiaries
Number Of Beneficiaries With Race Not Else where Classified
Number Of Beneficiaries With Medicare Only Entitlement 86
Number Of Beneficiaries With Medicare Medicaid Entitlement 92
Percent Of With Atrial Fibrillation
Percent Of With Alzheimers Disease or Dementia 7
Percent Of With Asthma
Percent Of With Cancer 10
Percent Of With Heart Failure 12
Percent Of With Chronic Kidney Disease 16
Percent Of With Chronic Obstructive Pulmonary Disease 15
Percent Of With Depression 32
Percent Of With Diabetes 27
Percent Of With Hyperlipidemia 34
Percent Of With Hypertension 42
Percent Of With Ischemic Heart Disease 26
Percent Of With Osteoporosis
Percent Of With Rheumatoid Arthritis Osteoarthritis 29
Percent Of With Schizophrenia Other PsychoticDisorders 11
Percent Of With Stroke
Average HCC Risk Score Of Beneficiaries 1.0802

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