Medicare Facts for Dr. Marimel S. Tilley, OD


National Provider Identifier [NPI]: 1700980109
Last Name Of The Provider TILLEY
First Name Of The Provider MARIMEL
Middle Initial Of The Provider S
Credentials Of The Provider O.D.
Gender Of The Provider F
Entity Type Of The Provider I
Street Address 1 Of The Provider 510 E STONER AVE
Street Address 2 Of The Provider
City Of The Provider SHREVEPORT
Zip Code Of The Provider 711014243
State Code Of The Provider LA
Country Code Of The Provider US
Provider Type Of The Provider Optometry
Medicare Participation Indicator Y
Number Of HCPCS 11
Number Of Services 46
Number Of Medicare Beneficiaries 18
Total Submitted Charge Amount 7395
Total Medicare Allowed Amount 3498.32
Total Medicare Payment Amount 2222.13
Total Medicare Standardized Payment Amount 2410.08
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 46
Number Of Medicare Beneficiaries With Medical Services 18
Total Medical Submitted Charge Amount 7395
Total Medical Medicare Allowed Amount 3498.32
Total Medical Medicare Payment Amount 2222.13
Total Medical Medicare Standardized Payment Amount 2410.08
Average Age Of Beneficiaries 73
Number Of Beneficiaries Age Less65
Number Of Beneficiaries Age 65 to 74
Number Of Beneficiaries Age 75 to 84
Number Of Beneficiaries Age Greater 84
Number Of Female Beneficiaries
Number Of Male Beneficiaries
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
Number Of Beneficiaries With Medicare Medicaid Entitlement
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 61
Percent Of With Hypertension 75
Percent Of With Ischemic Heart Disease
Percent Of With Osteoporosis
Percent Of With Rheumatoid Arthritis Osteoarthritis
Percent Of With Schizophrenia Other PsychoticDisorders
Percent Of With Stroke
Average HCC Risk Score Of Beneficiaries 0.7812

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