Medicare Facts for Amanda R. Daugherty, NPC


National Provider Identifier [NPI]: 1215193644
Last Name Of The Provider DAUGHERTY
First Name Of The Provider AMANDA
Middle Initial Of The Provider R
Credentials Of The Provider NP-C
Gender Of The Provider F
Entity Type Of The Provider I
Street Address 1 Of The Provider 6417 COLUMBUS PIKE
Street Address 2 Of The Provider
City Of The Provider LEWIS CENTER
Zip Code Of The Provider 43035
State Code Of The Provider OH
Country Code Of The Provider US
Provider Type Of The Provider Nurse Practitioner
Medicare Participation Indicator Y
Number Of HCPCS 11
Number Of Services 51
Number Of Medicare Beneficiaries 35
Total Submitted Charge Amount 3120
Total Medicare Allowed Amount 2312.36
Total Medicare Payment Amount 1823.61
Total Medicare Standardized Payment Amount 2082.03
Drug Suppress Indicator
Number Of HCPCS Associated With Drug Services 3
Number Of Drug Services 12
Number Of Medicare Beneficiaries With Drug Services 11
Total Drug Submitted ChargeAmount 580
Total Drug Medicare AllowedAmount 398.37
Total Drug Medicare PaymentAmount 390.37
Total Drug Medicare Standardized Payment Amount 390.37
Medical SuppressIndicator
Number Of HCPCS Associated With MedicalServices 8
Number Of Medical Services 39
Number Of Medicare Beneficiaries With Medical Services 35
Total Medical Submitted Charge Amount 2540
Total Medical Medicare Allowed Amount 1913.99
Total Medical Medicare Payment Amount 1433.24
Total Medical Medicare Standardized Payment Amount 1691.66
Average Age Of Beneficiaries 67
Number Of Beneficiaries Age Less65
Number Of Beneficiaries Age 65 to 74 24
Number Of Beneficiaries Age 75 to 84
Number Of Beneficiaries Age Greater 84
Number Of Female Beneficiaries 22
Number Of Male Beneficiaries 13
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
Percent Of With Alzheimers Disease or Dementia
Percent Of With Asthma 0
Percent Of With Cancer
Percent Of With Heart Failure
Percent Of With Chronic Kidney Disease
Percent Of With Chronic Obstructive Pulmonary Disease
Percent Of With Depression
Percent Of With Diabetes
Percent Of With Hyperlipidemia 54
Percent Of With Hypertension 60
Percent Of With Ischemic Heart Disease
Percent Of With Osteoporosis
Percent Of With Rheumatoid Arthritis Osteoarthritis 43
Percent Of With Schizophrenia Other PsychoticDisorders 0
Percent Of With Stroke 0
Average HCC Risk Score Of Beneficiaries 0.6878

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