National Provider Identifier [NPI]: |
1417939067 |
Last Name Of The Provider |
MAUER |
First Name Of The Provider |
RICHARD |
Middle Initial Of The Provider |
C |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
2515 CYCLONE DR |
Street Address 2 Of The Provider |
|
City Of The Provider |
WATERLOO |
Zip Code Of The Provider |
507019746 |
State Code Of The Provider |
IA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Ophthalmology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
78 |
Number Of Services |
13456 |
Number Of Medicare Beneficiaries |
2087 |
Total Submitted Charge Amount |
5532669.77 |
Total Medicare Allowed Amount |
2496779.98 |
Total Medicare Payment Amount |
1899234.83 |
Total Medicare Standardized Payment Amount |
1988312.59 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
7 |
Number Of Drug Services |
2432 |
Number Of Medicare Beneficiaries With Drug Services |
105 |
Total Drug Submitted ChargeAmount |
1864129.15 |
Total Drug Medicare AllowedAmount |
1222565.51 |
Total Drug Medicare PaymentAmount |
957315.69 |
Total Drug Medicare Standardized Payment Amount |
957315.69 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
71 |
Number Of Medical Services |
11024 |
Number Of Medicare Beneficiaries With Medical Services |
2087 |
Total Medical Submitted Charge Amount |
3668540.62 |
Total Medical Medicare Allowed Amount |
1274214.47 |
Total Medical Medicare Payment Amount |
941919.14 |
Total Medical Medicare Standardized Payment Amount |
1030996.9 |
Average Age Of Beneficiaries |
76 |
Number Of Beneficiaries Age Less65 |
189 |
Number Of Beneficiaries Age 65 to 74 |
755 |
Number Of Beneficiaries Age 75 to 84 |
700 |
Number Of Beneficiaries Age Greater 84 |
443 |
Number Of Female Beneficiaries |
1222 |
Number Of Male Beneficiaries |
865 |
Number Of Non Hispanic White Beneficiaries |
1949 |
Number Of Black or African American Beneficiaries |
100 |
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 |
16 |
Number Of Beneficiaries With Medicare Only Entitlement |
1783 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
304 |
Percent Of With Atrial Fibrillation |
12 |
Percent Of With Alzheimers Disease or Dementia |
10 |
Percent Of With Asthma |
4 |
Percent Of With Cancer |
9 |
Percent Of With Heart Failure |
17 |
Percent Of With Chronic Kidney Disease |
16 |
Percent Of With Chronic Obstructive Pulmonary Disease |
11 |
Percent Of With Depression |
17 |
Percent Of With Diabetes |
35 |
Percent Of With Hyperlipidemia |
54 |
Percent Of With Hypertension |
67 |
Percent Of With Ischemic Heart Disease |
33 |
Percent Of With Osteoporosis |
7 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
38 |
Percent Of With Schizophrenia Other PsychoticDisorders |
4 |
Percent Of With Stroke |
4 |
Average HCC Risk Score Of Beneficiaries |
1.1324 |