Medicare Facts for Alice Collini, OTR


National Provider Identifier [NPI]: 1932257128
Last Name Of The Provider COLLINI
First Name Of The Provider ALICE
Middle Initial Of The Provider
Credentials Of The Provider OTR
Gender Of The Provider F
Entity Type Of The Provider I
Street Address 1 Of The Provider 800 W RANDOL MILL RD
Street Address 2 Of The Provider
City Of The Provider ARLINGTON
Zip Code Of The Provider 760122504
State Code Of The Provider TX
Country Code Of The Provider US
Provider Type Of The Provider Occupational therapist
Medicare Participation Indicator Y
Number Of HCPCS 4
Number Of Services 865
Number Of Medicare Beneficiaries 117
Total Submitted Charge Amount 66947.03
Total Medicare Allowed Amount 30197.28
Total Medicare Payment Amount 23404.8
Total Medicare Standardized Payment Amount 17271.34
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 4
Number Of Medical Services 865
Number Of Medicare Beneficiaries With Medical Services 117
Total Medical Submitted Charge Amount 66947.03
Total Medical Medicare Allowed Amount 30197.28
Total Medical Medicare Payment Amount 23404.8
Total Medical Medicare Standardized Payment Amount 17271.34
Average Age Of Beneficiaries 74
Number Of Beneficiaries Age Less65
Number Of Beneficiaries Age 65 to 74 64
Number Of Beneficiaries Age 75 to 84 34
Number Of Beneficiaries Age Greater 84
Number Of Female Beneficiaries 78
Number Of Male Beneficiaries 39
Number Of Non Hispanic White Beneficiaries
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
Number Of Beneficiaries With Medicare Medicaid Entitlement
Percent Of With Atrial Fibrillation 9
Percent Of With Alzheimers Disease or Dementia
Percent Of With Asthma 9
Percent Of With Cancer
Percent Of With Heart Failure
Percent Of With Chronic Kidney Disease 21
Percent Of With Chronic Obstructive Pulmonary Disease 10
Percent Of With Depression 21
Percent Of With Diabetes 26
Percent Of With Hyperlipidemia 58
Percent Of With Hypertension 71
Percent Of With Ischemic Heart Disease 29
Percent Of With Osteoporosis
Percent Of With Rheumatoid Arthritis Osteoarthritis 58
Percent Of With Schizophrenia Other PsychoticDisorders 0
Percent Of With Stroke
Average HCC Risk Score Of Beneficiaries 1.0347

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