Medicare Facts for Dr. David M. Coulson, OD


National Provider Identifier [NPI]: 1376722876
Last Name Of The Provider COULSON
First Name Of The Provider DAVID
Middle Initial Of The Provider M
Credentials Of The Provider O.D.
Gender Of The Provider M
Entity Type Of The Provider I
Street Address 1 Of The Provider 4800 N 22ND ST
Street Address 2 Of The Provider
City Of The Provider PHOENIX
Zip Code Of The Provider 850164701
State Code Of The Provider AZ
Country Code Of The Provider US
Provider Type Of The Provider Optometry
Medicare Participation Indicator Y
Number Of HCPCS 23
Number Of Services 2515
Number Of Medicare Beneficiaries 961
Total Submitted Charge Amount 270780
Total Medicare Allowed Amount 186794.63
Total Medicare Payment Amount 131196.56
Total Medicare Standardized Payment Amount 127729.93
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 23
Number Of Medical Services 2515
Number Of Medicare Beneficiaries With Medical Services 961
Total Medical Submitted Charge Amount 270780
Total Medical Medicare Allowed Amount 186794.63
Total Medical Medicare Payment Amount 131196.56
Total Medical Medicare Standardized Payment Amount 127729.93
Average Age Of Beneficiaries 74
Number Of Beneficiaries Age Less65 53
Number Of Beneficiaries Age 65 to 74 506
Number Of Beneficiaries Age 75 to 84 284
Number Of Beneficiaries Age Greater 84 118
Number Of Female Beneficiaries 536
Number Of Male Beneficiaries 425
Number Of Non Hispanic White Beneficiaries 813
Number Of Black or African American Beneficiaries 28
Number Of AsianPacific Islander Beneficiaries 22
Number Of Hispanic Beneficiaries 75
Number Of American Indian Alaska Native Beneficiaries
Number Of Beneficiaries With Race Not Else where Classified
Number Of Beneficiaries With Medicare Only Entitlement 857
Number Of Beneficiaries With Medicare Medicaid Entitlement 104
Percent Of With Atrial Fibrillation 10
Percent Of With Alzheimers Disease or Dementia 5
Percent Of With Asthma 6
Percent Of With Cancer 10
Percent Of With Heart Failure 7
Percent Of With Chronic Kidney Disease 19
Percent Of With Chronic Obstructive Pulmonary Disease 9
Percent Of With Depression 13
Percent Of With Diabetes 23
Percent Of With Hyperlipidemia 53
Percent Of With Hypertension 59
Percent Of With Ischemic Heart Disease 27
Percent Of With Osteoporosis 8
Percent Of With Rheumatoid Arthritis Osteoarthritis 38
Percent Of With Schizophrenia Other PsychoticDisorders 2
Percent Of With Stroke 4
Average HCC Risk Score Of Beneficiaries 1.0123

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