Medicare Facts for Dr. Oren Z. Plous, MD


National Provider Identifier [NPI]: 1467422659
Last Name Of The Provider PLOUS
First Name Of The Provider OREN
Middle Initial Of The Provider Z
Credentials Of The Provider M.D.
Gender Of The Provider M
Entity Type Of The Provider I
Street Address 1 Of The Provider 1961 FLOYD ST
Street Address 2 Of The Provider SUITE B
City Of The Provider SARASOTA
Zip Code Of The Provider 342392931
State Code Of The Provider FL
Country Code Of The Provider US
Provider Type Of The Provider Ophthalmology
Medicare Participation Indicator Y
Number Of HCPCS 36
Number Of Services 2044
Number Of Medicare Beneficiaries 336
Total Submitted Charge Amount 469031.42
Total Medicare Allowed Amount 219780.95
Total Medicare Payment Amount 170012.3
Total Medicare Standardized Payment Amount 172754.24
Drug Suppress Indicator
Number Of HCPCS Associated With Drug Services 4
Number Of Drug Services 85
Number Of Medicare Beneficiaries With Drug Services 18
Total Drug Submitted ChargeAmount 54655
Total Drug Medicare AllowedAmount 42838.04
Total Drug Medicare PaymentAmount 33585.01
Total Drug Medicare Standardized Payment Amount 33585.01
Medical SuppressIndicator
Number Of HCPCS Associated With MedicalServices 32
Number Of Medical Services 1959
Number Of Medicare Beneficiaries With Medical Services 336
Total Medical Submitted Charge Amount 414376.42
Total Medical Medicare Allowed Amount 176942.91
Total Medical Medicare Payment Amount 136427.29
Total Medical Medicare Standardized Payment Amount 139169.23
Average Age Of Beneficiaries 75
Number Of Beneficiaries Age Less65 37
Number Of Beneficiaries Age 65 to 74 118
Number Of Beneficiaries Age 75 to 84 110
Number Of Beneficiaries Age Greater 84 71
Number Of Female Beneficiaries 198
Number Of Male Beneficiaries 138
Number Of Non Hispanic White Beneficiaries 292
Number Of Black or African American Beneficiaries
Number Of AsianPacific Islander Beneficiaries
Number Of Hispanic Beneficiaries 20
Number Of American Indian Alaska Native Beneficiaries
Number Of Beneficiaries With Race Not Else where Classified
Number Of Beneficiaries With Medicare Only Entitlement 284
Number Of Beneficiaries With Medicare Medicaid Entitlement 52
Percent Of With Atrial Fibrillation 14
Percent Of With Alzheimers Disease or Dementia 13
Percent Of With Asthma 8
Percent Of With Cancer 10
Percent Of With Heart Failure 24
Percent Of With Chronic Kidney Disease 30
Percent Of With Chronic Obstructive Pulmonary Disease 15
Percent Of With Depression 24
Percent Of With Diabetes 37
Percent Of With Hyperlipidemia 72
Percent Of With Hypertension 75
Percent Of With Ischemic Heart Disease 48
Percent Of With Osteoporosis 12
Percent Of With Rheumatoid Arthritis Osteoarthritis 42
Percent Of With Schizophrenia Other PsychoticDisorders 5
Percent Of With Stroke 7
Average HCC Risk Score Of Beneficiaries 1.4905

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