Medicare Facts for Dr. Lori J. Bende, OD


National Provider Identifier [NPI]: 1003944968
Last Name Of The Provider BENDE
First Name Of The Provider LORI
Middle Initial Of The Provider J
Credentials Of The Provider O.D.
Gender Of The Provider F
Entity Type Of The Provider I
Street Address 1 Of The Provider 4009 GOVERNOR DR
Street Address 2 Of The Provider
City Of The Provider SAN DIEGO
Zip Code Of The Provider 921222522
State Code Of The Provider CA
Country Code Of The Provider US
Provider Type Of The Provider Optometry
Medicare Participation Indicator Y
Number Of HCPCS 5
Number Of Services 46
Number Of Medicare Beneficiaries 41
Total Submitted Charge Amount 5414
Total Medicare Allowed Amount 5185.04
Total Medicare Payment Amount 3171.67
Total Medicare Standardized Payment Amount 3329.57
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 5
Number Of Medical Services 46
Number Of Medicare Beneficiaries With Medical Services 41
Total Medical Submitted Charge Amount 5414
Total Medical Medicare Allowed Amount 5185.04
Total Medical Medicare Payment Amount 3171.67
Total Medical Medicare Standardized Payment Amount 3329.57
Average Age Of Beneficiaries 74
Number Of Beneficiaries Age Less65
Number Of Beneficiaries Age 65 to 74 25
Number Of Beneficiaries Age 75 to 84
Number Of Beneficiaries Age Greater 84
Number Of Female Beneficiaries 27
Number Of Male Beneficiaries 14
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 41
Number Of Beneficiaries With Medicare Medicaid Entitlement 0
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
Percent Of With Chronic Obstructive Pulmonary Disease
Percent Of With Depression
Percent Of With Diabetes
Percent Of With Hyperlipidemia 29
Percent Of With Hypertension 41
Percent Of With Ischemic Heart Disease
Percent Of With Osteoporosis
Percent Of With Rheumatoid Arthritis Osteoarthritis
Percent Of With Schizophrenia Other PsychoticDisorders 0
Percent Of With Stroke
Average HCC Risk Score Of Beneficiaries 0.748

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