Medicare Facts for Christine A. Utley, NP


National Provider Identifier [NPI]: 1457347528
Last Name Of The Provider UTLEY
First Name Of The Provider CHRISTINE
Middle Initial Of The Provider A
Credentials Of The Provider M.S.N., NP
Gender Of The Provider F
Entity Type Of The Provider I
Street Address 1 Of The Provider 3120 GLENDALE AVE
Street Address 2 Of The Provider
City Of The Provider TOLEDO
Zip Code Of The Provider 436145811
State Code Of The Provider OH
Country Code Of The Provider US
Provider Type Of The Provider Nurse Practitioner
Medicare Participation Indicator Y
Number Of HCPCS 4
Number Of Services 117
Number Of Medicare Beneficiaries 64
Total Submitted Charge Amount 21550
Total Medicare Allowed Amount 7159.65
Total Medicare Payment Amount 5091
Total Medicare Standardized Payment Amount 6488.24
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 4
Number Of Medical Services 117
Number Of Medicare Beneficiaries With Medical Services 64
Total Medical Submitted Charge Amount 21550
Total Medical Medicare Allowed Amount 7159.65
Total Medical Medicare Payment Amount 5091
Total Medical Medicare Standardized Payment Amount 6488.24
Average Age Of Beneficiaries 61
Number Of Beneficiaries Age Less65 31
Number Of Beneficiaries Age 65 to 74 21
Number Of Beneficiaries Age 75 to 84
Number Of Beneficiaries Age Greater 84
Number Of Female Beneficiaries 50
Number Of Male Beneficiaries 14
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 43
Number Of Beneficiaries With Medicare Medicaid Entitlement 21
Percent Of With Atrial Fibrillation
Percent Of With Alzheimers Disease or Dementia
Percent Of With Asthma 17
Percent Of With Cancer
Percent Of With Heart Failure 17
Percent Of With Chronic Kidney Disease 17
Percent Of With Chronic Obstructive Pulmonary Disease
Percent Of With Depression 66
Percent Of With Diabetes 25
Percent Of With Hyperlipidemia 64
Percent Of With Hypertension 59
Percent Of With Ischemic Heart Disease 23
Percent Of With Osteoporosis
Percent Of With Rheumatoid Arthritis Osteoarthritis 58
Percent Of With Schizophrenia Other PsychoticDisorders
Percent Of With Stroke 19
Average HCC Risk Score Of Beneficiaries 1.3485

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