Medicare Facts for Dr. Eric R. Hentzen, MD


National Provider Identifier [NPI]: 1245411180
Last Name Of The Provider HENTZEN
First Name Of The Provider ERIC
Middle Initial Of The Provider R
Credentials Of The Provider M.D. PH.D.
Gender Of The Provider M
Entity Type Of The Provider I
Street Address 1 Of The Provider 200 W ARBOR DR
Street Address 2 Of The Provider MC 8894
City Of The Provider SAN DIEGO
Zip Code Of The Provider 921038894
State Code Of The Provider CA
Country Code Of The Provider US
Provider Type Of The Provider Orthopedic Surgery
Medicare Participation Indicator Y
Number Of HCPCS 57
Number Of Services 370
Number Of Medicare Beneficiaries 154
Total Submitted Charge Amount 149500.5
Total Medicare Allowed Amount 45673.97
Total Medicare Payment Amount 34373.83
Total Medicare Standardized Payment Amount 33343.45
Drug Suppress Indicator
Number Of HCPCS Associated With Drug Services 1
Number Of Drug Services 58
Number Of Medicare Beneficiaries With Drug Services 19
Total Drug Submitted ChargeAmount 522
Total Drug Medicare AllowedAmount 103.07
Total Drug Medicare PaymentAmount 75.05
Total Drug Medicare Standardized Payment Amount 75.05
Medical SuppressIndicator
Number Of HCPCS Associated With MedicalServices 56
Number Of Medical Services 312
Number Of Medicare Beneficiaries With Medical Services 154
Total Medical Submitted Charge Amount 148978.5
Total Medical Medicare Allowed Amount 45570.9
Total Medical Medicare Payment Amount 34298.78
Total Medical Medicare Standardized Payment Amount 33268.4
Average Age Of Beneficiaries 70
Number Of Beneficiaries Age Less65 36
Number Of Beneficiaries Age 65 to 74 68
Number Of Beneficiaries Age 75 to 84 34
Number Of Beneficiaries Age Greater 84 16
Number Of Female Beneficiaries 91
Number Of Male Beneficiaries 63
Number Of Non Hispanic White Beneficiaries 108
Number Of Black or African American Beneficiaries 11
Number Of AsianPacific Islander Beneficiaries
Number Of Hispanic Beneficiaries 24
Number Of American Indian Alaska Native Beneficiaries 0
Number Of Beneficiaries With Race Not Else where Classified
Number Of Beneficiaries With Medicare Only Entitlement 90
Number Of Beneficiaries With Medicare Medicaid Entitlement 64
Percent Of With Atrial Fibrillation 11
Percent Of With Alzheimers Disease or Dementia 12
Percent Of With Asthma 10
Percent Of With Cancer 12
Percent Of With Heart Failure 21
Percent Of With Chronic Kidney Disease 26
Percent Of With Chronic Obstructive Pulmonary Disease 17
Percent Of With Depression 25
Percent Of With Diabetes 25
Percent Of With Hyperlipidemia 42
Percent Of With Hypertension 54
Percent Of With Ischemic Heart Disease 36
Percent Of With Osteoporosis 19
Percent Of With Rheumatoid Arthritis Osteoarthritis 58
Percent Of With Schizophrenia Other PsychoticDisorders 9
Percent Of With Stroke
Average HCC Risk Score Of Beneficiaries 1.7182

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