National Provider Identifier [NPI]: |
1194158337 |
Last Name Of The Provider |
STRAUT |
First Name Of The Provider |
ERIC |
Middle Initial Of The Provider |
R |
Credentials Of The Provider |
O.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1995 W NASA BLVD |
Street Address 2 Of The Provider |
SUITE 200 |
City Of The Provider |
MELBOURNE |
Zip Code Of The Provider |
329042300 |
State Code Of The Provider |
FL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Optometry |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
32 |
Number Of Services |
4112 |
Number Of Medicare Beneficiaries |
1280 |
Total Submitted Charge Amount |
589008.67 |
Total Medicare Allowed Amount |
322914.46 |
Total Medicare Payment Amount |
245183.89 |
Total Medicare Standardized Payment Amount |
242762.04 |
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 |
32 |
Number Of Medical Services |
4112 |
Number Of Medicare Beneficiaries With Medical Services |
1280 |
Total Medical Submitted Charge Amount |
589008.67 |
Total Medical Medicare Allowed Amount |
322914.46 |
Total Medical Medicare Payment Amount |
245183.89 |
Total Medical Medicare Standardized Payment Amount |
242762.04 |
Average Age Of Beneficiaries |
78 |
Number Of Beneficiaries Age Less65 |
59 |
Number Of Beneficiaries Age 65 to 74 |
416 |
Number Of Beneficiaries Age 75 to 84 |
489 |
Number Of Beneficiaries Age Greater 84 |
316 |
Number Of Female Beneficiaries |
778 |
Number Of Male Beneficiaries |
502 |
Number Of Non Hispanic White Beneficiaries |
1156 |
Number Of Black or African American Beneficiaries |
63 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
41 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
1210 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
70 |
Percent Of With Atrial Fibrillation |
14 |
Percent Of With Alzheimers Disease or Dementia |
12 |
Percent Of With Asthma |
6 |
Percent Of With Cancer |
13 |
Percent Of With Heart Failure |
19 |
Percent Of With Chronic Kidney Disease |
25 |
Percent Of With Chronic Obstructive Pulmonary Disease |
16 |
Percent Of With Depression |
17 |
Percent Of With Diabetes |
35 |
Percent Of With Hyperlipidemia |
70 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
41 |
Percent Of With Osteoporosis |
13 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
44 |
Percent Of With Schizophrenia Other PsychoticDisorders |
2 |
Percent Of With Stroke |
7 |
Average HCC Risk Score Of Beneficiaries |
1.2815 |