Medicare Facts for Dr. Tracey J. Shaffer, OD


National Provider Identifier [NPI]: 1457371502
Last Name Of The Provider SHAFFER
First Name Of The Provider TRACEY
Middle Initial Of The Provider J
Credentials Of The Provider OD
Gender Of The Provider F
Entity Type Of The Provider I
Street Address 1 Of The Provider 4588 VIRGINIA BEACH BLVD
Street Address 2 Of The Provider CARE OF SEARS OPTICAL
City Of The Provider VIRGINIA BEACH
Zip Code Of The Provider 234623004
State Code Of The Provider VA
Country Code Of The Provider US
Provider Type Of The Provider Optometry
Medicare Participation Indicator Y
Number Of HCPCS 9
Number Of Services 123
Number Of Medicare Beneficiaries 119
Total Submitted Charge Amount 15570
Total Medicare Allowed Amount 14856.8
Total Medicare Payment Amount 10550.48
Total Medicare Standardized Payment Amount 10916.83
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 9
Number Of Medical Services 123
Number Of Medicare Beneficiaries With Medical Services 119
Total Medical Submitted Charge Amount 15570
Total Medical Medicare Allowed Amount 14856.8
Total Medical Medicare Payment Amount 10550.48
Total Medical Medicare Standardized Payment Amount 10916.83
Average Age Of Beneficiaries 73
Number Of Beneficiaries Age Less65
Number Of Beneficiaries Age 65 to 74 68
Number Of Beneficiaries Age 75 to 84 36
Number Of Beneficiaries Age Greater 84
Number Of Female Beneficiaries 57
Number Of Male Beneficiaries 62
Number Of Non Hispanic White Beneficiaries 92
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
Number Of Beneficiaries With Medicare Medicaid Entitlement
Percent Of With Atrial Fibrillation 12
Percent Of With Alzheimers Disease or Dementia
Percent Of With Asthma
Percent Of With Cancer 9
Percent Of With Heart Failure 10
Percent Of With Chronic Kidney Disease 13
Percent Of With Chronic Obstructive Pulmonary Disease 17
Percent Of With Depression 18
Percent Of With Diabetes 31
Percent Of With Hyperlipidemia 71
Percent Of With Hypertension 75
Percent Of With Ischemic Heart Disease 32
Percent Of With Osteoporosis
Percent Of With Rheumatoid Arthritis Osteoarthritis 33
Percent Of With Schizophrenia Other PsychoticDisorders
Percent Of With Stroke
Average HCC Risk Score Of Beneficiaries 0.92

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