National Provider Identifier [NPI]: |
1437486677 |
Last Name Of The Provider |
SLOANES |
First Name Of The Provider |
CHELSEA |
Middle Initial Of The Provider |
J |
Credentials Of The Provider |
PA-C |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
2280 MARCOLA ROAD |
Street Address 2 Of The Provider |
|
City Of The Provider |
SPRINGFILED |
Zip Code Of The Provider |
974772594 |
State Code Of The Provider |
OR |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Physician Assistant |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
60 |
Number Of Services |
499 |
Number Of Medicare Beneficiaries |
255 |
Total Submitted Charge Amount |
82000.68 |
Total Medicare Allowed Amount |
28288.02 |
Total Medicare Payment Amount |
19717.13 |
Total Medicare Standardized Payment Amount |
24512.02 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
17 |
Number Of Drug Services |
97 |
Number Of Medicare Beneficiaries With Drug Services |
33 |
Total Drug Submitted ChargeAmount |
1597 |
Total Drug Medicare AllowedAmount |
163.53 |
Total Drug Medicare PaymentAmount |
146.64 |
Total Drug Medicare Standardized Payment Amount |
146.64 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
43 |
Number Of Medical Services |
402 |
Number Of Medicare Beneficiaries With Medical Services |
255 |
Total Medical Submitted Charge Amount |
80403.68 |
Total Medical Medicare Allowed Amount |
28124.49 |
Total Medical Medicare Payment Amount |
19570.49 |
Total Medical Medicare Standardized Payment Amount |
24365.38 |
Average Age Of Beneficiaries |
69 |
Number Of Beneficiaries Age Less65 |
67 |
Number Of Beneficiaries Age 65 to 74 |
100 |
Number Of Beneficiaries Age 75 to 84 |
57 |
Number Of Beneficiaries Age Greater 84 |
31 |
Number Of Female Beneficiaries |
156 |
Number Of Male Beneficiaries |
99 |
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 |
202 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
53 |
Percent Of With Atrial Fibrillation |
8 |
Percent Of With Alzheimers Disease or Dementia |
9 |
Percent Of With Asthma |
10 |
Percent Of With Cancer |
8 |
Percent Of With Heart Failure |
11 |
Percent Of With Chronic Kidney Disease |
15 |
Percent Of With Chronic Obstructive Pulmonary Disease |
11 |
Percent Of With Depression |
29 |
Percent Of With Diabetes |
20 |
Percent Of With Hyperlipidemia |
38 |
Percent Of With Hypertension |
45 |
Percent Of With Ischemic Heart Disease |
20 |
Percent Of With Osteoporosis |
4 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
31 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
|
Average HCC Risk Score Of Beneficiaries |
0.9974 |