Medicare Facts for Dr. Shelmar R. O'Connell, MD


National Provider Identifier [NPI]: 1467553651
Last Name Of The Provider O'CONNELL
First Name Of The Provider SHELMAR
Middle Initial Of The Provider R
Credentials Of The Provider MD
Gender Of The Provider F
Entity Type Of The Provider I
Street Address 1 Of The Provider 315 MARTIN LUTHER KING JR WAY
Street Address 2 Of The Provider
City Of The Provider TACOMA
Zip Code Of The Provider 984054234
State Code Of The Provider WA
Country Code Of The Provider US
Provider Type Of The Provider Emergency Medicine
Medicare Participation Indicator Y
Number Of HCPCS 22
Number Of Services 739
Number Of Medicare Beneficiaries 379
Total Submitted Charge Amount 298554
Total Medicare Allowed Amount 68364.65
Total Medicare Payment Amount 53357.3
Total Medicare Standardized Payment Amount 53891.08
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 22
Number Of Medical Services 739
Number Of Medicare Beneficiaries With Medical Services 379
Total Medical Submitted Charge Amount 298554
Total Medical Medicare Allowed Amount 68364.65
Total Medical Medicare Payment Amount 53357.3
Total Medical Medicare Standardized Payment Amount 53891.08
Average Age Of Beneficiaries 72
Number Of Beneficiaries Age Less65 93
Number Of Beneficiaries Age 65 to 74 88
Number Of Beneficiaries Age 75 to 84 99
Number Of Beneficiaries Age Greater 84 99
Number Of Female Beneficiaries 241
Number Of Male Beneficiaries 138
Number Of Non Hispanic White Beneficiaries 308
Number Of Black or African American Beneficiaries 44
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 255
Number Of Beneficiaries With Medicare Medicaid Entitlement 124
Percent Of With Atrial Fibrillation 17
Percent Of With Alzheimers Disease or Dementia 21
Percent Of With Asthma 17
Percent Of With Cancer 15
Percent Of With Heart Failure 30
Percent Of With Chronic Kidney Disease 40
Percent Of With Chronic Obstructive Pulmonary Disease 25
Percent Of With Depression 31
Percent Of With Diabetes 31
Percent Of With Hyperlipidemia 55
Percent Of With Hypertension 75
Percent Of With Ischemic Heart Disease 41
Percent Of With Osteoporosis 14
Percent Of With Rheumatoid Arthritis Osteoarthritis 46
Percent Of With Schizophrenia Other PsychoticDisorders 8
Percent Of With Stroke 9
Average HCC Risk Score Of Beneficiaries 1.5835

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