National Provider Identifier [NPI]: |
1851361539 |
Last Name Of The Provider |
TREFT |
First Name Of The Provider |
ROBERT |
Middle Initial Of The Provider |
L |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1580 W ANTELOPE DR |
Street Address 2 Of The Provider |
SUITE 175 |
City Of The Provider |
LAYTON |
Zip Code Of The Provider |
840411160 |
State Code Of The Provider |
UT |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Ophthalmology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
65 |
Number Of Services |
4318 |
Number Of Medicare Beneficiaries |
1006 |
Total Submitted Charge Amount |
1234249 |
Total Medicare Allowed Amount |
756491.45 |
Total Medicare Payment Amount |
571642.69 |
Total Medicare Standardized Payment Amount |
585626.33 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
4 |
Number Of Drug Services |
633 |
Number Of Medicare Beneficiaries With Drug Services |
45 |
Total Drug Submitted ChargeAmount |
426280 |
Total Drug Medicare AllowedAmount |
349146.95 |
Total Drug Medicare PaymentAmount |
273696.44 |
Total Drug Medicare Standardized Payment Amount |
273696.44 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
61 |
Number Of Medical Services |
3685 |
Number Of Medicare Beneficiaries With Medical Services |
1006 |
Total Medical Submitted Charge Amount |
807969 |
Total Medical Medicare Allowed Amount |
407344.5 |
Total Medical Medicare Payment Amount |
297946.25 |
Total Medical Medicare Standardized Payment Amount |
311929.89 |
Average Age Of Beneficiaries |
76 |
Number Of Beneficiaries Age Less65 |
35 |
Number Of Beneficiaries Age 65 to 74 |
434 |
Number Of Beneficiaries Age 75 to 84 |
373 |
Number Of Beneficiaries Age Greater 84 |
164 |
Number Of Female Beneficiaries |
592 |
Number Of Male Beneficiaries |
414 |
Number Of Non Hispanic White Beneficiaries |
915 |
Number Of Black or African American Beneficiaries |
16 |
Number Of AsianPacific Islander Beneficiaries |
17 |
Number Of Hispanic Beneficiaries |
39 |
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
19 |
Number Of Beneficiaries With Medicare Only Entitlement |
979 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
27 |
Percent Of With Atrial Fibrillation |
11 |
Percent Of With Alzheimers Disease or Dementia |
6 |
Percent Of With Asthma |
6 |
Percent Of With Cancer |
8 |
Percent Of With Heart Failure |
14 |
Percent Of With Chronic Kidney Disease |
17 |
Percent Of With Chronic Obstructive Pulmonary Disease |
7 |
Percent Of With Depression |
16 |
Percent Of With Diabetes |
33 |
Percent Of With Hyperlipidemia |
42 |
Percent Of With Hypertension |
55 |
Percent Of With Ischemic Heart Disease |
28 |
Percent Of With Osteoporosis |
7 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
36 |
Percent Of With Schizophrenia Other PsychoticDisorders |
1 |
Percent Of With Stroke |
3 |
Average HCC Risk Score Of Beneficiaries |
0.9823 |