Medicare Facts for Dr. Jeffrey C. Marshall, OD


National Provider Identifier [NPI]: 1194720607
Last Name Of The Provider MARSHALL
First Name Of The Provider JEFFREY
Middle Initial Of The Provider C
Credentials Of The Provider O.D.
Gender Of The Provider M
Entity Type Of The Provider I
Street Address 1 Of The Provider 5606 E WASHINGTON ST
Street Address 2 Of The Provider
City Of The Provider INDIANAPOLIS
Zip Code Of The Provider 462196428
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 10
Number Of Services 154
Number Of Medicare Beneficiaries 120
Total Submitted Charge Amount 21983.53
Total Medicare Allowed Amount 16747
Total Medicare Payment Amount 11582.65
Total Medicare Standardized Payment Amount 12604.39
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 154
Number Of Medicare Beneficiaries With Medical Services 120
Total Medical Submitted Charge Amount 21983.53
Total Medical Medicare Allowed Amount 16747
Total Medical Medicare Payment Amount 11582.65
Total Medical Medicare Standardized Payment Amount 12604.39
Average Age Of Beneficiaries 73
Number Of Beneficiaries Age Less65
Number Of Beneficiaries Age 65 to 74 58
Number Of Beneficiaries Age 75 to 84 36
Number Of Beneficiaries Age Greater 84
Number Of Female Beneficiaries 70
Number Of Male Beneficiaries 50
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 106
Number Of Beneficiaries With Medicare Medicaid Entitlement 14
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 18
Percent Of With Chronic Obstructive Pulmonary Disease 13
Percent Of With Depression 18
Percent Of With Diabetes 32
Percent Of With Hyperlipidemia 51
Percent Of With Hypertension 68
Percent Of With Ischemic Heart Disease 22
Percent Of With Osteoporosis 9
Percent Of With Rheumatoid Arthritis Osteoarthritis 28
Percent Of With Schizophrenia Other PsychoticDisorders
Percent Of With Stroke
Average HCC Risk Score Of Beneficiaries 0.8876

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