Medicare Facts for Dr. Scott M. Pfahler, DO


National Provider Identifier [NPI]: 1093923385
Last Name Of The Provider PFAHLER
First Name Of The Provider SCOTT
Middle Initial Of The Provider M
Credentials Of The Provider D.O.
Gender Of The Provider M
Entity Type Of The Provider I
Street Address 1 Of The Provider 301 W 1ST ST
Street Address 2 Of The Provider SUITE 300
City Of The Provider DAYTON
Zip Code Of The Provider 454023033
State Code Of The Provider OH
Country Code Of The Provider US
Provider Type Of The Provider Ophthalmology
Medicare Participation Indicator Y
Number Of HCPCS 34
Number Of Services 5897
Number Of Medicare Beneficiaries 723
Total Submitted Charge Amount 1542865.8
Total Medicare Allowed Amount 1040262.34
Total Medicare Payment Amount 794880.05
Total Medicare Standardized Payment Amount 812539.06
Drug Suppress Indicator
Number Of HCPCS Associated With Drug Services 5
Number Of Drug Services 943
Number Of Medicare Beneficiaries With Drug Services 59
Total Drug Submitted ChargeAmount 582242.8
Total Drug Medicare AllowedAmount 573348.81
Total Drug Medicare PaymentAmount 448961.82
Total Drug Medicare Standardized Payment Amount 448961.82
Medical SuppressIndicator
Number Of HCPCS Associated With MedicalServices 29
Number Of Medical Services 4954
Number Of Medicare Beneficiaries With Medical Services 723
Total Medical Submitted Charge Amount 960623
Total Medical Medicare Allowed Amount 466913.53
Total Medical Medicare Payment Amount 345918.23
Total Medical Medicare Standardized Payment Amount 363577.24
Average Age Of Beneficiaries 75
Number Of Beneficiaries Age Less65 98
Number Of Beneficiaries Age 65 to 74 242
Number Of Beneficiaries Age 75 to 84 239
Number Of Beneficiaries Age Greater 84 144
Number Of Female Beneficiaries 406
Number Of Male Beneficiaries 317
Number Of Non Hispanic White Beneficiaries 562
Number Of Black or African American Beneficiaries 144
Number Of AsianPacific Islander Beneficiaries
Number Of Hispanic Beneficiaries
Number Of American Indian Alaska Native Beneficiaries
Number Of Beneficiaries With Race Not Else where Classified
Number Of Beneficiaries With Medicare Only Entitlement 577
Number Of Beneficiaries With Medicare Medicaid Entitlement 146
Percent Of With Atrial Fibrillation 12
Percent Of With Alzheimers Disease or Dementia 10
Percent Of With Asthma 7
Percent Of With Cancer 9
Percent Of With Heart Failure 25
Percent Of With Chronic Kidney Disease 33
Percent Of With Chronic Obstructive Pulmonary Disease 19
Percent Of With Depression 18
Percent Of With Diabetes 50
Percent Of With Hyperlipidemia 63
Percent Of With Hypertension 75
Percent Of With Ischemic Heart Disease 37
Percent Of With Osteoporosis 7
Percent Of With Rheumatoid Arthritis Osteoarthritis 33
Percent Of With Schizophrenia Other PsychoticDisorders 3
Percent Of With Stroke 6
Average HCC Risk Score Of Beneficiaries 1.6475

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