Medicare Facts for Brianne J. Kelly, PT


National Provider Identifier [NPI]: 1366797854
Last Name Of The Provider KELLY
First Name Of The Provider BRIANNE
Middle Initial Of The Provider J
Credentials Of The Provider PT
Gender Of The Provider F
Entity Type Of The Provider I
Street Address 1 Of The Provider 4020 COLUMBUS AVE
Street Address 2 Of The Provider
City Of The Provider ANDERSON
Zip Code Of The Provider 460135010
State Code Of The Provider IN
Country Code Of The Provider US
Provider Type Of The Provider Physical Therapist
Medicare Participation Indicator Y
Number Of HCPCS 9
Number Of Services 1248
Number Of Medicare Beneficiaries 48
Total Submitted Charge Amount 110689.17
Total Medicare Allowed Amount 33664.77
Total Medicare Payment Amount 25621.15
Total Medicare Standardized Payment Amount 18140.33
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 9
Number Of Medical Services 1248
Number Of Medicare Beneficiaries With Medical Services 48
Total Medical Submitted Charge Amount 110689.17
Total Medical Medicare Allowed Amount 33664.77
Total Medical Medicare Payment Amount 25621.15
Total Medical Medicare Standardized Payment Amount 18140.33
Average Age Of Beneficiaries 68
Number Of Beneficiaries Age Less65
Number Of Beneficiaries Age 65 to 74 26
Number Of Beneficiaries Age 75 to 84
Number Of Beneficiaries Age Greater 84
Number Of Female Beneficiaries 29
Number Of Male Beneficiaries 19
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
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 33
Percent Of With Diabetes 35
Percent Of With Hyperlipidemia 40
Percent Of With Hypertension 67
Percent Of With Ischemic Heart Disease 29
Percent Of With Osteoporosis
Percent Of With Rheumatoid Arthritis Osteoarthritis 71
Percent Of With Schizophrenia Other PsychoticDisorders
Percent Of With Stroke
Average HCC Risk Score Of Beneficiaries 0.9188

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