Medicare Facts for Dr. Glen R. Owen, OD


National Provider Identifier [NPI]: 1174613715
Last Name Of The Provider OWEN
First Name Of The Provider GLEN
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 7315 212TH ST SW
Street Address 2 Of The Provider STE 200
City Of The Provider EDMONDS
Zip Code Of The Provider 980267610
State Code Of The Provider WA
Country Code Of The Provider US
Provider Type Of The Provider Optometry
Medicare Participation Indicator Y
Number Of HCPCS 28
Number Of Services 1103
Number Of Medicare Beneficiaries 257
Total Submitted Charge Amount 137281.64
Total Medicare Allowed Amount 77628.4
Total Medicare Payment Amount 54493.37
Total Medicare Standardized Payment Amount 54454.67
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 28
Number Of Medical Services 1103
Number Of Medicare Beneficiaries With Medical Services 257
Total Medical Submitted Charge Amount 137281.64
Total Medical Medicare Allowed Amount 77628.4
Total Medical Medicare Payment Amount 54493.37
Total Medical Medicare Standardized Payment Amount 54454.67
Average Age Of Beneficiaries 76
Number Of Beneficiaries Age Less65
Number Of Beneficiaries Age 65 to 74 96
Number Of Beneficiaries Age 75 to 84 111
Number Of Beneficiaries Age Greater 84
Number Of Female Beneficiaries 163
Number Of Male Beneficiaries 94
Number Of Non Hispanic White Beneficiaries 234
Number Of Black or African American Beneficiaries
Number Of AsianPacific Islander Beneficiaries 11
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 14
Percent Of With Alzheimers Disease or Dementia 5
Percent Of With Asthma 6
Percent Of With Cancer 8
Percent Of With Heart Failure 13
Percent Of With Chronic Kidney Disease 20
Percent Of With Chronic Obstructive Pulmonary Disease 10
Percent Of With Depression 16
Percent Of With Diabetes 28
Percent Of With Hyperlipidemia 46
Percent Of With Hypertension 54
Percent Of With Ischemic Heart Disease 26
Percent Of With Osteoporosis 9
Percent Of With Rheumatoid Arthritis Osteoarthritis 32
Percent Of With Schizophrenia Other PsychoticDisorders
Percent Of With Stroke 5
Average HCC Risk Score Of Beneficiaries 1.029

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