National Provider Identifier [NPI]: |
1457333957 |
Last Name Of The Provider |
ZIMMERMAN |
First Name Of The Provider |
THOMAS |
Middle Initial Of The Provider |
A |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
230 S. 6TH ST. |
Street Address 2 Of The Provider |
|
City Of The Provider |
NEVADA |
Zip Code Of The Provider |
502012534 |
State Code Of The Provider |
IA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Family Practice |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
138 |
Number Of Services |
7007 |
Number Of Medicare Beneficiaries |
465 |
Total Submitted Charge Amount |
501141 |
Total Medicare Allowed Amount |
236132.5 |
Total Medicare Payment Amount |
174790.32 |
Total Medicare Standardized Payment Amount |
185344.95 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
14 |
Number Of Drug Services |
661 |
Number Of Medicare Beneficiaries With Drug Services |
207 |
Total Drug Submitted ChargeAmount |
12224 |
Total Drug Medicare AllowedAmount |
8866.4 |
Total Drug Medicare PaymentAmount |
8505.81 |
Total Drug Medicare Standardized Payment Amount |
8505.81 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
124 |
Number Of Medical Services |
6346 |
Number Of Medicare Beneficiaries With Medical Services |
464 |
Total Medical Submitted Charge Amount |
488917 |
Total Medical Medicare Allowed Amount |
227266.1 |
Total Medical Medicare Payment Amount |
166284.51 |
Total Medical Medicare Standardized Payment Amount |
176839.14 |
Average Age Of Beneficiaries |
75 |
Number Of Beneficiaries Age Less65 |
44 |
Number Of Beneficiaries Age 65 to 74 |
203 |
Number Of Beneficiaries Age 75 to 84 |
113 |
Number Of Beneficiaries Age Greater 84 |
105 |
Number Of Female Beneficiaries |
261 |
Number Of Male Beneficiaries |
204 |
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 |
404 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
61 |
Percent Of With Atrial Fibrillation |
11 |
Percent Of With Alzheimers Disease or Dementia |
9 |
Percent Of With Asthma |
5 |
Percent Of With Cancer |
9 |
Percent Of With Heart Failure |
17 |
Percent Of With Chronic Kidney Disease |
24 |
Percent Of With Chronic Obstructive Pulmonary Disease |
14 |
Percent Of With Depression |
17 |
Percent Of With Diabetes |
33 |
Percent Of With Hyperlipidemia |
56 |
Percent Of With Hypertension |
69 |
Percent Of With Ischemic Heart Disease |
30 |
Percent Of With Osteoporosis |
7 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
20 |
Percent Of With Schizophrenia Other PsychoticDisorders |
5 |
Percent Of With Stroke |
4 |
Average HCC Risk Score Of Beneficiaries |
1.0786 |