Medicare Facts for Carrie M. Lopez, MED


National Provider Identifier [NPI]: 1336215938
Last Name Of The Provider LOPEZ
First Name Of The Provider CARRIE
Middle Initial Of The Provider L
Credentials Of The Provider PA
Gender Of The Provider F
Entity Type Of The Provider I
Street Address 1 Of The Provider 600 E 1ST ST
Street Address 2 Of The Provider
City Of The Provider SPRING VALLEY
Zip Code Of The Provider 613621512
State Code Of The Provider IL
Country Code Of The Provider US
Provider Type Of The Provider Physician Assistant
Medicare Participation Indicator Y
Number Of HCPCS 24
Number Of Services 186
Number Of Medicare Beneficiaries 97
Total Submitted Charge Amount 14279
Total Medicare Allowed Amount 7334.56
Total Medicare Payment Amount 4652.24
Total Medicare Standardized Payment Amount 5264.7
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 24
Number Of Medical Services 186
Number Of Medicare Beneficiaries With Medical Services 97
Total Medical Submitted Charge Amount 14279
Total Medical Medicare Allowed Amount 7334.56
Total Medical Medicare Payment Amount 4652.24
Total Medical Medicare Standardized Payment Amount 5264.7
Average Age Of Beneficiaries 76
Number Of Beneficiaries Age Less65
Number Of Beneficiaries Age 65 to 74 36
Number Of Beneficiaries Age 75 to 84 32
Number Of Beneficiaries Age Greater 84
Number Of Female Beneficiaries 62
Number Of Male Beneficiaries 35
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 14
Percent Of With Alzheimers Disease or Dementia 12
Percent Of With Asthma 12
Percent Of With Cancer 18
Percent Of With Heart Failure 18
Percent Of With Chronic Kidney Disease 13
Percent Of With Chronic Obstructive Pulmonary Disease 15
Percent Of With Depression 14
Percent Of With Diabetes 27
Percent Of With Hyperlipidemia 65
Percent Of With Hypertension 75
Percent Of With Ischemic Heart Disease 34
Percent Of With Osteoporosis 18
Percent Of With Rheumatoid Arthritis Osteoarthritis 75
Percent Of With Schizophrenia Other PsychoticDisorders
Percent Of With Stroke
Average HCC Risk Score Of Beneficiaries 1.1448

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