Medicare Facts for Dr. Tom F. Straus, MD


National Provider Identifier [NPI]: 1164465498
Last Name Of The Provider STRAUS
First Name Of The Provider TOM
Middle Initial Of The Provider F
Credentials Of The Provider MD
Gender Of The Provider M
Entity Type Of The Provider I
Street Address 1 Of The Provider 4701 CENTRAL AVE
Street Address 2 Of The Provider
City Of The Provider MIDDLETOWN
Zip Code Of The Provider 450445353
State Code Of The Provider OH
Country Code Of The Provider US
Provider Type Of The Provider Ophthalmology
Medicare Participation Indicator Y
Number Of HCPCS 25
Number Of Services 1495
Number Of Medicare Beneficiaries 858
Total Submitted Charge Amount 279677.7
Total Medicare Allowed Amount 140553.58
Total Medicare Payment Amount 101011.28
Total Medicare Standardized Payment Amount 105881.18
Drug Suppress Indicator *
Number Of HCPCS Associated With Drug Services
Number Of Drug Services
Number Of Medicare Beneficiaries With Drug Services
Total Drug Submitted ChargeAmount
Total Drug Medicare AllowedAmount
Total Drug Medicare PaymentAmount
Total Drug Medicare Standardized Payment Amount
Medical SuppressIndicator #
Number Of HCPCS Associated With MedicalServices
Number Of Medical Services
Number Of Medicare Beneficiaries With Medical Services
Total Medical Submitted Charge Amount
Total Medical Medicare Allowed Amount
Total Medical Medicare Payment Amount
Total Medical Medicare Standardized Payment Amount
Average Age Of Beneficiaries 74
Number Of Beneficiaries Age Less65 94
Number Of Beneficiaries Age 65 to 74 338
Number Of Beneficiaries Age 75 to 84 298
Number Of Beneficiaries Age Greater 84 128
Number Of Female Beneficiaries 487
Number Of Male Beneficiaries 371
Number Of Non Hispanic White Beneficiaries 791
Number Of Black or African American Beneficiaries 44
Number Of AsianPacific Islander Beneficiaries
Number Of Hispanic Beneficiaries 11
Number Of American Indian Alaska Native Beneficiaries 0
Number Of Beneficiaries With Race Not Else where Classified
Number Of Beneficiaries With Medicare Only Entitlement 739
Number Of Beneficiaries With Medicare Medicaid Entitlement 119
Percent Of With Atrial Fibrillation 13
Percent Of With Alzheimers Disease or Dementia 9
Percent Of With Asthma 6
Percent Of With Cancer 10
Percent Of With Heart Failure 20
Percent Of With Chronic Kidney Disease 24
Percent Of With Chronic Obstructive Pulmonary Disease 18
Percent Of With Depression 19
Percent Of With Diabetes 43
Percent Of With Hyperlipidemia 67
Percent Of With Hypertension 75
Percent Of With Ischemic Heart Disease 39
Percent Of With Osteoporosis 7
Percent Of With Rheumatoid Arthritis Osteoarthritis 38
Percent Of With Schizophrenia Other PsychoticDisorders 3
Percent Of With Stroke 5
Average HCC Risk Score Of Beneficiaries 1.258

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