Medicare Facts for Amber E. Cornell


National Provider Identifier [NPI]: 1255500880
Last Name Of The Provider CORNELL
First Name Of The Provider AMBER
Middle Initial Of The Provider E
Credentials Of The Provider ARNP-C
Gender Of The Provider F
Entity Type Of The Provider I
Street Address 1 Of The Provider 414 W ROBERTSON ST
Street Address 2 Of The Provider
City Of The Provider BRANDON
Zip Code Of The Provider 335115010
State Code Of The Provider FL
Country Code Of The Provider US
Provider Type Of The Provider Nurse Practitioner
Medicare Participation Indicator Y
Number Of HCPCS 20
Number Of Services 160
Number Of Medicare Beneficiaries 102
Total Submitted Charge Amount 7424.51
Total Medicare Allowed Amount 6715.99
Total Medicare Payment Amount 4622.81
Total Medicare Standardized Payment Amount 5485.64
Drug Suppress Indicator
Number Of HCPCS Associated With Drug Services 7
Number Of Drug Services 50
Number Of Medicare Beneficiaries With Drug Services 49
Total Drug Submitted ChargeAmount 1629.51
Total Drug Medicare AllowedAmount 1510.95
Total Drug Medicare PaymentAmount 1479.75
Total Drug Medicare Standardized Payment Amount 1479.75
Medical SuppressIndicator
Number Of HCPCS Associated With MedicalServices 13
Number Of Medical Services 110
Number Of Medicare Beneficiaries With Medical Services 102
Total Medical Submitted Charge Amount 5795
Total Medical Medicare Allowed Amount 5205.04
Total Medical Medicare Payment Amount 3143.06
Total Medical Medicare Standardized Payment Amount 4005.89
Average Age Of Beneficiaries 73
Number Of Beneficiaries Age Less65
Number Of Beneficiaries Age 65 to 74 48
Number Of Beneficiaries Age 75 to 84 28
Number Of Beneficiaries Age Greater 84
Number Of Female Beneficiaries 65
Number Of Male Beneficiaries 37
Number Of Non Hispanic White Beneficiaries 91
Number Of Black or African American Beneficiaries
Number Of AsianPacific Islander Beneficiaries 0
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
Number Of Beneficiaries With Medicare Medicaid Entitlement
Percent Of With Atrial Fibrillation
Percent Of With Alzheimers Disease or Dementia 13
Percent Of With Asthma
Percent Of With Cancer 11
Percent Of With Heart Failure
Percent Of With Chronic Kidney Disease 13
Percent Of With Chronic Obstructive Pulmonary Disease 12
Percent Of With Depression 19
Percent Of With Diabetes 25
Percent Of With Hyperlipidemia 43
Percent Of With Hypertension 60
Percent Of With Ischemic Heart Disease 25
Percent Of With Osteoporosis
Percent Of With Rheumatoid Arthritis Osteoarthritis 34
Percent Of With Schizophrenia Other PsychoticDisorders
Percent Of With Stroke
Average HCC Risk Score Of Beneficiaries 0.8193

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