Medicare Facts for Dr. Shane L. Claborn, OD


National Provider Identifier [NPI]: 1962667055
Last Name Of The Provider CLABORN
First Name Of The Provider SHANE
Middle Initial Of The Provider L
Credentials Of The Provider O.D.
Gender Of The Provider M
Entity Type Of The Provider I
Street Address 1 Of The Provider 4250 NW CACHE RD
Street Address 2 Of The Provider
City Of The Provider LAWTON
Zip Code Of The Provider 735053606
State Code Of The Provider OK
Country Code Of The Provider US
Provider Type Of The Provider Optometry
Medicare Participation Indicator Y
Number Of HCPCS 27
Number Of Services 828
Number Of Medicare Beneficiaries 308
Total Submitted Charge Amount 104966.9
Total Medicare Allowed Amount 75733.96
Total Medicare Payment Amount 50491.81
Total Medicare Standardized Payment Amount 56407.07
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 27
Number Of Medical Services 828
Number Of Medicare Beneficiaries With Medical Services 308
Total Medical Submitted Charge Amount 104966.9
Total Medical Medicare Allowed Amount 75733.96
Total Medical Medicare Payment Amount 50491.81
Total Medical Medicare Standardized Payment Amount 56407.07
Average Age Of Beneficiaries 71
Number Of Beneficiaries Age Less65 49
Number Of Beneficiaries Age 65 to 74 151
Number Of Beneficiaries Age 75 to 84 80
Number Of Beneficiaries Age Greater 84 28
Number Of Female Beneficiaries 187
Number Of Male Beneficiaries 121
Number Of Non Hispanic White Beneficiaries 237
Number Of Black or African American Beneficiaries 38
Number Of AsianPacific Islander Beneficiaries
Number Of Hispanic Beneficiaries 12
Number Of American Indian Alaska Native Beneficiaries
Number Of Beneficiaries With Race Not Else where Classified
Number Of Beneficiaries With Medicare Only Entitlement 258
Number Of Beneficiaries With Medicare Medicaid Entitlement 50
Percent Of With Atrial Fibrillation 5
Percent Of With Alzheimers Disease or Dementia 10
Percent Of With Asthma 9
Percent Of With Cancer 7
Percent Of With Heart Failure 22
Percent Of With Chronic Kidney Disease 16
Percent Of With Chronic Obstructive Pulmonary Disease 21
Percent Of With Depression 20
Percent Of With Diabetes 31
Percent Of With Hyperlipidemia 54
Percent Of With Hypertension 69
Percent Of With Ischemic Heart Disease 40
Percent Of With Osteoporosis 7
Percent Of With Rheumatoid Arthritis Osteoarthritis 44
Percent Of With Schizophrenia Other PsychoticDisorders
Percent Of With Stroke 6
Average HCC Risk Score Of Beneficiaries 1.1895

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