Medicare Facts for Dr. Chad M. Waggoner, OD


National Provider Identifier [NPI]: 1285686139
Last Name Of The Provider WAGGONER
First Name Of The Provider CHAD
Middle Initial Of The Provider M
Credentials Of The Provider OD
Gender Of The Provider M
Entity Type Of The Provider I
Street Address 1 Of The Provider 345 COLLEGE ST SE
Street Address 2 Of The Provider
City Of The Provider LACEY
Zip Code Of The Provider 985031013
State Code Of The Provider WA
Country Code Of The Provider US
Provider Type Of The Provider Optometry
Medicare Participation Indicator Y
Number Of HCPCS 24
Number Of Services 1821
Number Of Medicare Beneficiaries 1090
Total Submitted Charge Amount 314733.82
Total Medicare Allowed Amount 180438.08
Total Medicare Payment Amount 116608.72
Total Medicare Standardized Payment Amount 118186.99
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 24
Number Of Medical Services 1821
Number Of Medicare Beneficiaries With Medical Services 1090
Total Medical Submitted Charge Amount 314733.82
Total Medical Medicare Allowed Amount 180438.08
Total Medical Medicare Payment Amount 116608.72
Total Medical Medicare Standardized Payment Amount 118186.99
Average Age Of Beneficiaries 75
Number Of Beneficiaries Age Less65 73
Number Of Beneficiaries Age 65 to 74 449
Number Of Beneficiaries Age 75 to 84 392
Number Of Beneficiaries Age Greater 84 176
Number Of Female Beneficiaries 673
Number Of Male Beneficiaries 417
Number Of Non Hispanic White Beneficiaries 985
Number Of Black or African American Beneficiaries
Number Of AsianPacific Islander Beneficiaries 47
Number Of Hispanic Beneficiaries 22
Number Of American Indian Alaska Native Beneficiaries
Number Of Beneficiaries With Race Not Else where Classified 23
Number Of Beneficiaries With Medicare Only Entitlement 960
Number Of Beneficiaries With Medicare Medicaid Entitlement 130
Percent Of With Atrial Fibrillation 12
Percent Of With Alzheimers Disease or Dementia 9
Percent Of With Asthma 6
Percent Of With Cancer 11
Percent Of With Heart Failure 16
Percent Of With Chronic Kidney Disease 20
Percent Of With Chronic Obstructive Pulmonary Disease 9
Percent Of With Depression 17
Percent Of With Diabetes 26
Percent Of With Hyperlipidemia 46
Percent Of With Hypertension 54
Percent Of With Ischemic Heart Disease 24
Percent Of With Osteoporosis 6
Percent Of With Rheumatoid Arthritis Osteoarthritis 31
Percent Of With Schizophrenia Other PsychoticDisorders 1
Percent Of With Stroke 4
Average HCC Risk Score Of Beneficiaries 1.0406

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