Medicare Facts for Carrie Berry, FNP


National Provider Identifier [NPI]: 1831109107
Last Name Of The Provider BERRY
First Name Of The Provider CARRIE
Middle Initial Of The Provider
Credentials Of The Provider FNP
Gender Of The Provider F
Entity Type Of The Provider I
Street Address 1 Of The Provider 905 FRANKLIN ST
Street Address 2 Of The Provider
City Of The Provider WATERLOO
Zip Code Of The Provider 507034407
State Code Of The Provider IA
Country Code Of The Provider US
Provider Type Of The Provider Nurse Practitioner
Medicare Participation Indicator Y
Number Of HCPCS 16
Number Of Services 39
Number Of Medicare Beneficiaries 28
Total Submitted Charge Amount 1881
Total Medicare Allowed Amount 788.32
Total Medicare Payment Amount 400.03
Total Medicare Standardized Payment Amount 484.96
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 16
Number Of Medical Services 39
Number Of Medicare Beneficiaries With Medical Services 28
Total Medical Submitted Charge Amount 1881
Total Medical Medicare Allowed Amount 788.32
Total Medical Medicare Payment Amount 400.03
Total Medical Medicare Standardized Payment Amount 484.96
Average Age Of Beneficiaries 59
Number Of Beneficiaries Age Less65
Number Of Beneficiaries Age 65 to 74
Number Of Beneficiaries Age 75 to 84
Number Of Beneficiaries Age Greater 84
Number Of Female Beneficiaries 16
Number Of Male Beneficiaries 12
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
Percent Of With Diabetes 46
Percent Of With Hyperlipidemia 50
Percent Of With Hypertension 71
Percent Of With Ischemic Heart Disease
Percent Of With Osteoporosis 0
Percent Of With Rheumatoid Arthritis Osteoarthritis
Percent Of With Schizophrenia Other PsychoticDisorders
Percent Of With Stroke
Average HCC Risk Score Of Beneficiaries 1.0653

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