Medicare Facts for Carol Smith, NP


National Provider Identifier [NPI]: 1790847721
Last Name Of The Provider SMITH
First Name Of The Provider CAROL
Middle Initial Of The Provider
Credentials Of The Provider NP
Gender Of The Provider F
Entity Type Of The Provider I
Street Address 1 Of The Provider 505 MAIN ST
Street Address 2 Of The Provider
City Of The Provider NORTHPORT
Zip Code Of The Provider 117681954
State Code Of The Provider NY
Country Code Of The Provider US
Provider Type Of The Provider Certified Clinical Nurse Specialist
Medicare Participation Indicator Y
Number Of HCPCS 5
Number Of Services 76
Number Of Medicare Beneficiaries 40
Total Submitted Charge Amount 48675.32
Total Medicare Allowed Amount 5688.09
Total Medicare Payment Amount 4405.05
Total Medicare Standardized Payment Amount 4643.36
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 5
Number Of Medical Services 76
Number Of Medicare Beneficiaries With Medical Services 40
Total Medical Submitted Charge Amount 48675.32
Total Medical Medicare Allowed Amount 5688.09
Total Medical Medicare Payment Amount 4405.05
Total Medical Medicare Standardized Payment Amount 4643.36
Average Age Of Beneficiaries 74
Number Of Beneficiaries Age Less65
Number Of Beneficiaries Age 65 to 74 13
Number Of Beneficiaries Age 75 to 84
Number Of Beneficiaries Age Greater 84 12
Number Of Female Beneficiaries 19
Number Of Male Beneficiaries 21
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 25
Number Of Beneficiaries With Medicare Medicaid Entitlement 15
Percent Of With Atrial Fibrillation 30
Percent Of With Alzheimers Disease or Dementia 55
Percent Of With Asthma
Percent Of With Cancer
Percent Of With Heart Failure 60
Percent Of With Chronic Kidney Disease 35
Percent Of With Chronic Obstructive Pulmonary Disease 50
Percent Of With Depression 73
Percent Of With Diabetes 58
Percent Of With Hyperlipidemia 70
Percent Of With Hypertension 75
Percent Of With Ischemic Heart Disease 75
Percent Of With Osteoporosis
Percent Of With Rheumatoid Arthritis Osteoarthritis 43
Percent Of With Schizophrenia Other PsychoticDisorders 38
Percent Of With Stroke 28
Average HCC Risk Score Of Beneficiaries 2.5287

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