National Provider Identifier [NPI]: |
1659325686 |
Last Name Of The Provider |
ZUBER |
First Name Of The Provider |
THOMAS |
Middle Initial Of The Provider |
J |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
245 WINKLERS CREEK RD |
Street Address 2 Of The Provider |
SUITE C |
City Of The Provider |
BOONE |
Zip Code Of The Provider |
286077838 |
State Code Of The Provider |
NC |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Family Practice |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
115 |
Number Of Services |
5229 |
Number Of Medicare Beneficiaries |
467 |
Total Submitted Charge Amount |
426733 |
Total Medicare Allowed Amount |
169157.4 |
Total Medicare Payment Amount |
127792.02 |
Total Medicare Standardized Payment Amount |
128441.05 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
17 |
Number Of Drug Services |
2027 |
Number Of Medicare Beneficiaries With Drug Services |
195 |
Total Drug Submitted ChargeAmount |
26365 |
Total Drug Medicare AllowedAmount |
9576.68 |
Total Drug Medicare PaymentAmount |
8440.87 |
Total Drug Medicare Standardized Payment Amount |
8440.87 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
98 |
Number Of Medical Services |
3202 |
Number Of Medicare Beneficiaries With Medical Services |
467 |
Total Medical Submitted Charge Amount |
400368 |
Total Medical Medicare Allowed Amount |
159580.72 |
Total Medical Medicare Payment Amount |
119351.15 |
Total Medical Medicare Standardized Payment Amount |
120000.18 |
Average Age Of Beneficiaries |
71 |
Number Of Beneficiaries Age Less65 |
62 |
Number Of Beneficiaries Age 65 to 74 |
231 |
Number Of Beneficiaries Age 75 to 84 |
131 |
Number Of Beneficiaries Age Greater 84 |
43 |
Number Of Female Beneficiaries |
267 |
Number Of Male Beneficiaries |
200 |
Number Of Non Hispanic White Beneficiaries |
453 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
406 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
61 |
Percent Of With Atrial Fibrillation |
12 |
Percent Of With Alzheimers Disease or Dementia |
6 |
Percent Of With Asthma |
6 |
Percent Of With Cancer |
8 |
Percent Of With Heart Failure |
10 |
Percent Of With Chronic Kidney Disease |
11 |
Percent Of With Chronic Obstructive Pulmonary Disease |
13 |
Percent Of With Depression |
15 |
Percent Of With Diabetes |
26 |
Percent Of With Hyperlipidemia |
41 |
Percent Of With Hypertension |
51 |
Percent Of With Ischemic Heart Disease |
27 |
Percent Of With Osteoporosis |
3 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
31 |
Percent Of With Schizophrenia Other PsychoticDisorders |
4 |
Percent Of With Stroke |
3 |
Average HCC Risk Score Of Beneficiaries |
0.9231 |