Medicare Facts for Bonnie S. Kennedy, CRNA


National Provider Identifier [NPI]: 1922008432
Last Name Of The Provider KENNEDY
First Name Of The Provider BONNIE
Middle Initial Of The Provider S
Credentials Of The Provider C.R.N.A.
Gender Of The Provider F
Entity Type Of The Provider I
Street Address 1 Of The Provider 2151 W SPRING ST
Street Address 2 Of The Provider
City Of The Provider MONROE
Zip Code Of The Provider 306553115
State Code Of The Provider GA
Country Code Of The Provider US
Provider Type Of The Provider CRNA
Medicare Participation Indicator Y
Number Of HCPCS 33
Number Of Services 231
Number Of Medicare Beneficiaries 211
Total Submitted Charge Amount 159462
Total Medicare Allowed Amount 20903.9
Total Medicare Payment Amount 16239.61
Total Medicare Standardized Payment Amount 16500.72
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 33
Number Of Medical Services 231
Number Of Medicare Beneficiaries With Medical Services 211
Total Medical Submitted Charge Amount 159462
Total Medical Medicare Allowed Amount 20903.9
Total Medical Medicare Payment Amount 16239.61
Total Medical Medicare Standardized Payment Amount 16500.72
Average Age Of Beneficiaries 71
Number Of Beneficiaries Age Less65 31
Number Of Beneficiaries Age 65 to 74 106
Number Of Beneficiaries Age 75 to 84 55
Number Of Beneficiaries Age Greater 84 19
Number Of Female Beneficiaries 118
Number Of Male Beneficiaries 93
Number Of Non Hispanic White Beneficiaries 171
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 160
Number Of Beneficiaries With Medicare Medicaid Entitlement 51
Percent Of With Atrial Fibrillation
Percent Of With Alzheimers Disease or Dementia 12
Percent Of With Asthma 6
Percent Of With Cancer 12
Percent Of With Heart Failure 18
Percent Of With Chronic Kidney Disease 27
Percent Of With Chronic Obstructive Pulmonary Disease 16
Percent Of With Depression 24
Percent Of With Diabetes 37
Percent Of With Hyperlipidemia 64
Percent Of With Hypertension 75
Percent Of With Ischemic Heart Disease 34
Percent Of With Osteoporosis 7
Percent Of With Rheumatoid Arthritis Osteoarthritis 44
Percent Of With Schizophrenia Other PsychoticDisorders 5
Percent Of With Stroke 9
Average HCC Risk Score Of Beneficiaries 1.1764

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