Medicare Facts for Dr. Thomas G. Prater, MD


National Provider Identifier [NPI]: 1043289119
Last Name Of The Provider PRATER
First Name Of The Provider THOMAS
Middle Initial Of The Provider G
Credentials Of The Provider M.D.
Gender Of The Provider M
Entity Type Of The Provider I
Street Address 1 Of The Provider 1265 E PRIMROSE ST
Street Address 2 Of The Provider
City Of The Provider SPRINGFIELD
Zip Code Of The Provider 658044278
State Code Of The Provider MO
Country Code Of The Provider US
Provider Type Of The Provider Ophthalmology
Medicare Participation Indicator Y
Number Of HCPCS 44
Number Of Services 3067
Number Of Medicare Beneficiaries 1557
Total Submitted Charge Amount 1270525
Total Medicare Allowed Amount 532394.86
Total Medicare Payment Amount 388192.2
Total Medicare Standardized Payment Amount 423822.76
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 44
Number Of Medical Services 3067
Number Of Medicare Beneficiaries With Medical Services 1557
Total Medical Submitted Charge Amount 1270525
Total Medical Medicare Allowed Amount 532394.86
Total Medical Medicare Payment Amount 388192.2
Total Medical Medicare Standardized Payment Amount 423822.76
Average Age Of Beneficiaries 77
Number Of Beneficiaries Age Less65 56
Number Of Beneficiaries Age 65 to 74 602
Number Of Beneficiaries Age 75 to 84 618
Number Of Beneficiaries Age Greater 84 281
Number Of Female Beneficiaries 974
Number Of Male Beneficiaries 583
Number Of Non Hispanic White Beneficiaries 1525
Number Of Black or African American Beneficiaries
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 1491
Number Of Beneficiaries With Medicare Medicaid Entitlement 66
Percent Of With Atrial Fibrillation 10
Percent Of With Alzheimers Disease or Dementia 7
Percent Of With Asthma 4
Percent Of With Cancer 10
Percent Of With Heart Failure 11
Percent Of With Chronic Kidney Disease 16
Percent Of With Chronic Obstructive Pulmonary Disease 11
Percent Of With Depression 16
Percent Of With Diabetes 25
Percent Of With Hyperlipidemia 47
Percent Of With Hypertension 59
Percent Of With Ischemic Heart Disease 26
Percent Of With Osteoporosis 9
Percent Of With Rheumatoid Arthritis Osteoarthritis 38
Percent Of With Schizophrenia Other PsychoticDisorders 2
Percent Of With Stroke 5
Average HCC Risk Score Of Beneficiaries 0.9528

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