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Thomas Russell Dietze

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NPI Number Detailed Information

Provider Information:

Name: Thomas Russell Dietze
Gender: M
Provider License Number If Given: H1574

NPI Information:

NPI: 1417938713
Entity Type
(Individual or Organization):
1-ind
Enumeration Date: 11/14/2005

Last Update Date: 2/28/2019

Reputation Report:

Provider Business Mailing Address:

Address: 5402 S STAPLES ST SUITE 100
Corpus Christi, TX 78411
Phone Number: 3619929400
Fax Number: 3619928295

Provider Business Practice Location Address:

Address: 5402 S STAPLES ST SUITE 100
Corpus Christi, TX 78411
Phone Number: 3619929400
Fax Number: 3619928295

Provider Taxonomy:

Primary: 207WX0120X
Secondary (if any): 207W00000X
State: TX

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About Thomas Russell Dietze

Thomas Russell Dietze ( THOMAS RUSSELL DIETZE ) is An Ophthalmology Physician in Corpus Christi, TX. The NPI Number for Thomas Russell Dietze is 1417938713.
The current location address for Thomas Russell Dietze is 5402 S STAPLES ST SUITE 100 Corpus Christi, TX 78411 and the contact number is 3619929400 and fax number is 3619928295. The mailing address for Thomas Russell Dietze is 5402 S STAPLES ST SUITE 100 Corpus Christi, TX 78411- 3619929400 (mailing address contact number - 3619929400).
An ophthalmologist who specializes in diseases of the cornea, sclera, eyelids, conjunctiva, and anterior segment of the eye.

Provider Business Location on Map

FAQs:

What is the NPI Number for Thomas Russell Dietze ?


Answer: The NPI Number for Thomas Russell Dietze is 1417938713

Where is Thomas Russell Dietze located?


Answer: Thomas Russell Dietze is located at 5402 S STAPLES ST SUITE 100 Corpus Christi, TX 78411.

What is the specialty for Thomas Russell Dietze ?


Answer: The Specialty of Thomas Russell Dietze is An Ophthalmology Physician.

Are there any online reviews for Thomas Russell Dietze ?


Answer: Yes! Check It Now.

Are there any other health care providers in Corpus Christi, TX?


Answer: Yes, there are given below...

Medicare Physician & Other Practitioners

Information on services and procedures provided to Original Medicare (fee-for-service) Part B (Medical Insurance) beneficiaries by Thomas Russell Dietze

Number of HCPCS 24
Number of Medicare Beneficiaries 886
Number of Services 2267
Total Submitted Charge Amount 704935.75
Total Medicare Allowed Amount 281819.5
Total Medicare Payment Amount 198326.55
Total Medicare Standardized Payment Amount 202353.75
Drug Suppress Indicator
Number of HCPCS Associated With Drug Services 0
Number of Medicare Beneficiaries With Drug Services 0
Number of Drug Services 0
Total Drug Submitted Charge Amount 0
Total Drug Medicare Allowed Amount 0
Total Drug Medicare Payment Amount 0
Total Drug Medicare Standardized Payment Amount 0
Medical Suppress Indicator
Number of HCPCS Associated With Medical Services 24
Number of Medicare Beneficiaries With Medical 886
Number of Medical Services 2267
Total Medical Submitted Charge Amount 704935.75
Total Medical Medicare Allowed Amount 281819.5
Total Medical Medicare Payment Amount 198326.55
Total Medical Medicare Standardized Payment Amount 202353.75
Average Age of Beneficiaries 76
Number of Beneficiaries Age Less 65 33
Number of Beneficiaries Age 65 to 74 349
Number of Beneficiaries Age 75 to 84 359
Number of Beneficiaries Age Greater 84 145
Number of Female Beneficiaries 599
Number of Male Beneficiaries 287
Number of Non-Hispanic White Beneficiaries 588
Number of Black or African American Beneficiaries 18
Number of Asian Pacific Islander Beneficiaries 15
Number of Hispanic Beneficiaries 246
Number of American Indian/Alaska Native Beneficiaries 0
Number of Beneficiaries With Race Not Elsewhere Classified 19
Number of Beneficiaries With Medicare & Medicaid Entitlement 59
Number of Beneficiaries With Medicare Only Entitlement 827
Percent (%) of Beneficiaries Identified With Atrial Fibrillation 0.08
Percent (%) of Beneficiaries Identified With Alzheimer's Disease or Dementia 0.09
Percent (%) of Beneficiaries Identified With Asthma 0.06
Percent (%) of Beneficiaries Identified With Cancer 0.1
Percent (%) of Beneficiaries Identified With Heart Failure 0.14
Percent (%) of Beneficiaries Identified With Chronic Kidney Disease 0.36
Percent (%) of Beneficiaries Identified With Chronic Obstructive Pulmonary Disease 0.11
Percent (%) of Beneficiaries Identified With Depression 0.17
Percent (%) of Beneficiaries Identified With Diabetes 0.37
Percent (%) of Beneficiaries Identified With Hyperlipidemia 0.72
Percent (%) of Beneficiaries Identified With Hypertension 0.72
Percent (%) of Beneficiaries Identified With Ischemic Heart Disease 0.29
Percent (%) of Beneficiaries Identified With Osteoporosis 0.14
Percent (%) of Beneficiaries Identified With Rheumatoid Arthritis / Osteoarthritis 0.48
Percent (%) of Beneficiaries Identified With Schizophrenia / Other Psychotic Disorders
Percent (%) of Beneficiaries Identified With Stroke 0.04
Average HCC Risk Score of Beneficiaries 1.1385

Medicare Part D Prescribers

Information on prescription drugs provided to Medicare beneficiaries enrolled in Part D (Prescription Drug Coverage), by physicians and other health care providers, aggregated by provider.

Provider Specialty Type Ophthalmology
Source of Provider Specialty
Number of Medicare Part D Claims, Including Refills 9305
Number of Standardized 30-Day Fills 14569.233333
Aggregate Cost Paid for All Claims 1312212.31
Number of Day's Supply for All Claims 405472
Number of Medicare Beneficiaries 1609
Number of Claims, Including Refills, for Beneficiaries Age 65+ 8768
Including Refills, for Beneficiaries Age 65+ 13812.566667
Beneficiaries Age 65+ 1232764.95
Number of Day's Supply for All Claims for Beneficaries Age 65+ 384829
Number of Medicare Beneficiaries Age 65+ 1525
Reason for Suppression of Brnd_Tot_Clms and Brnd_Tot_Drug_Cst
Total Claims of Brand-Name Drugs 5922
Reason for Suppression of Gnrc_Tot_Clms and Gnrc_Tot_Drug_Cst
Total Claims of Generic Drugs, Including Refills 3383
Aggregate Cost Paid for Generic Drugs 135031.66
Reason for Suppression of Othr_Tot_Clms and Othr_Tot_Drug_Cst
Total Claims of Other Drugs, Including Refills 0
Aggregate Cost Paid for Other Drugs 0
Reason for Suppression of MAPD_Tot_Clmsand MAPD_Tot_Drug_Cst
Number of Claims for Beneficiaries Covered by MAPD Plans 7178
Aggregate Cost Paid for Claims Filled by Beneficiaries in MAPD Plans 923602.1
Reason for Suppression of PDP_Tot_Clms and PDP_Tot_Drug_Cst
Number of Claims for Beneficiaries Covered by Standalone PDP Plans 2127
Aggregate Cost Paid for Claims Filled by 388610.21
Reason for Suppression of LIS_Tot_Clms and LIS_Drug_Cst
Number of Claims for Beneficiaries Covered by Low-Income Subsidy 2440
Aggregate Cost Paid for Claims Covered by Low-Income Subsidy 414438.45
Reason for Suppression of NonLIS_Tot_Clms and NonLIS_Drug_Cst
Number of Claims for Beneficiaries Not Covered by Low-Income Subsidy 6865
by Low-Income Subsidy 897773.86
Total Claims of Opioid Drugs, Including
Aggregate Cost Paid for Opioid Drugs
Opioid Claims
Opioid_Tot_Clms divided by the Tot_Clms
Total Claims of Long-Acting Opioid Drugs
Aggregate Cost Paid for Long-Acting Opioid
Number of Day's Supply of All Long-Acting
Long-Acting Opioid Claims
Opioid_LA_Tot_Clms divided by the
Total Claims of Antibiotic Drugs, Including 15
Aggregate Cost Paid for Antibiotic Drugs 77.51
Antibiotic Claims 11
Reason for Suppression of Antpsyct_GE65_Tot_Clms and Antpsyct_GE65_Tot_Drug_Cst
Including Refills, for Beneficiaries Age 65+ 0
Aggregate Cost Paid for AntipsychoticDrugs for Beneficiaries Age 65+ 0
Reason for Suppression of Antpsyct_GE65_Tot_Benes
Number of Medicare Beneficiaries Age 65+Filling Antipsychotic Claims 0
Average Age of Beneficiaries 77.121193288
Number of Beneficiaries Age Less Than 65 84
Number of Beneficiaries Age 65 to 74 503
Number of Beneficiaries Age 75 to 84 717
Number of Female Beneficiaries 1070
Number of Male Beneficiaries 539
Number of Non-Hispanic White 740
Number of Black or African American 38
Number of Asian Pacific Islander
Number of Hispanic Beneficiaries 811
Number of American Indian/Alaskan NativeBeneficiaries
Number of Beneficiaries with Race Not 11
Only Entitlement 1314
Average Hierarchical Condition Category 1.5357013865

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