National Provider Identifier [NPI]: |
1255397196 |
Last Name Of The Provider |
SHEARER |
First Name Of The Provider |
DAMON |
Middle Initial Of The Provider |
D |
Credentials Of The Provider |
DO |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
200 HAWKINS DR |
Street Address 2 Of The Provider |
|
City Of The Provider |
IOWA CITY |
Zip Code Of The Provider |
522421009 |
State Code Of The Provider |
IA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Diagnostic Radiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
108 |
Number Of Services |
3463 |
Number Of Medicare Beneficiaries |
1947 |
Total Submitted Charge Amount |
298397.25 |
Total Medicare Allowed Amount |
110785.07 |
Total Medicare Payment Amount |
98049.06 |
Total Medicare Standardized Payment Amount |
99905.29 |
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 |
108 |
Number Of Medical Services |
3463 |
Number Of Medicare Beneficiaries With Medical Services |
1947 |
Total Medical Submitted Charge Amount |
298397.25 |
Total Medical Medicare Allowed Amount |
110785.07 |
Total Medical Medicare Payment Amount |
98049.06 |
Total Medical Medicare Standardized Payment Amount |
99905.29 |
Average Age Of Beneficiaries |
71 |
Number Of Beneficiaries Age Less65 |
373 |
Number Of Beneficiaries Age 65 to 74 |
785 |
Number Of Beneficiaries Age 75 to 84 |
571 |
Number Of Beneficiaries Age Greater 84 |
218 |
Number Of Female Beneficiaries |
1630 |
Number Of Male Beneficiaries |
317 |
Number Of Non Hispanic White Beneficiaries |
1789 |
Number Of Black or African American Beneficiaries |
80 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
23 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
34 |
Number Of Beneficiaries With Medicare Only Entitlement |
1537 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
410 |
Percent Of With Atrial Fibrillation |
10 |
Percent Of With Alzheimers Disease or Dementia |
6 |
Percent Of With Asthma |
7 |
Percent Of With Cancer |
12 |
Percent Of With Heart Failure |
12 |
Percent Of With Chronic Kidney Disease |
17 |
Percent Of With Chronic Obstructive Pulmonary Disease |
10 |
Percent Of With Depression |
24 |
Percent Of With Diabetes |
22 |
Percent Of With Hyperlipidemia |
39 |
Percent Of With Hypertension |
56 |
Percent Of With Ischemic Heart Disease |
21 |
Percent Of With Osteoporosis |
10 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
35 |
Percent Of With Schizophrenia Other PsychoticDisorders |
5 |
Percent Of With Stroke |
3 |
Average HCC Risk Score Of Beneficiaries |
1.0415 |