Medicare Facts for Dr. Thomas A. Antonian, OD


National Provider Identifier [NPI]: 1972605905
Last Name Of The Provider ANTONIAN
First Name Of The Provider THOMAS
Middle Initial Of The Provider A
Credentials Of The Provider OD
Gender Of The Provider M
Entity Type Of The Provider I
Street Address 1 Of The Provider 2728 PAWT AVE
Street Address 2 Of The Provider
City Of The Provider EAST PROV
Zip Code Of The Provider 02914
State Code Of The Provider RI
Country Code Of The Provider US
Provider Type Of The Provider Optometry
Medicare Participation Indicator Y
Number Of HCPCS 10
Number Of Services 286
Number Of Medicare Beneficiaries 224
Total Submitted Charge Amount 36740
Total Medicare Allowed Amount 32381.74
Total Medicare Payment Amount 24303.73
Total Medicare Standardized Payment Amount 23595.93
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 286
Number Of Medicare Beneficiaries With Medical Services 224
Total Medical Submitted Charge Amount 36740
Total Medical Medicare Allowed Amount 32381.74
Total Medical Medicare Payment Amount 24303.73
Total Medical Medicare Standardized Payment Amount 23595.93
Average Age Of Beneficiaries 75
Number Of Beneficiaries Age Less65 11
Number Of Beneficiaries Age 65 to 74 113
Number Of Beneficiaries Age 75 to 84 65
Number Of Beneficiaries Age Greater 84 35
Number Of Female Beneficiaries 111
Number Of Male Beneficiaries 113
Number Of Non Hispanic White Beneficiaries 205
Number Of Black or African American Beneficiaries
Number Of AsianPacific Islander Beneficiaries
Number Of Hispanic Beneficiaries
Number Of American Indian Alaska Native Beneficiaries 0
Number Of Beneficiaries With Race Not Else where Classified
Number Of Beneficiaries With Medicare Only Entitlement 212
Number Of Beneficiaries With Medicare Medicaid Entitlement 12
Percent Of With Atrial Fibrillation 15
Percent Of With Alzheimers Disease or Dementia 7
Percent Of With Asthma 11
Percent Of With Cancer 13
Percent Of With Heart Failure 13
Percent Of With Chronic Kidney Disease 18
Percent Of With Chronic Obstructive Pulmonary Disease 13
Percent Of With Depression 18
Percent Of With Diabetes 36
Percent Of With Hyperlipidemia 73
Percent Of With Hypertension 74
Percent Of With Ischemic Heart Disease 38
Percent Of With Osteoporosis 8
Percent Of With Rheumatoid Arthritis Osteoarthritis 31
Percent Of With Schizophrenia Other PsychoticDisorders
Percent Of With Stroke
Average HCC Risk Score Of Beneficiaries 1.114

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