Medicare Facts for Denise G. Chivington, RPN


National Provider Identifier [NPI]: 1154411924
Last Name Of The Provider CHIVINGTON
First Name Of The Provider DENISE
Middle Initial Of The Provider G
Credentials Of The Provider RPN
Gender Of The Provider F
Entity Type Of The Provider I
Street Address 1 Of The Provider 1425 STARR AVE
Street Address 2 Of The Provider
City Of The Provider TOLEDO
Zip Code Of The Provider 436052456
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 8
Number Of Services 210
Number Of Medicare Beneficiaries 96
Total Submitted Charge Amount 25261.31
Total Medicare Allowed Amount 16478.65
Total Medicare Payment Amount 11610.48
Total Medicare Standardized Payment Amount 14194.58
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 8
Number Of Medical Services 210
Number Of Medicare Beneficiaries With Medical Services 96
Total Medical Submitted Charge Amount 25261.31
Total Medical Medicare Allowed Amount 16478.65
Total Medical Medicare Payment Amount 11610.48
Total Medical Medicare Standardized Payment Amount 14194.58
Average Age Of Beneficiaries 52
Number Of Beneficiaries Age Less65 83
Number Of Beneficiaries Age 65 to 74 13
Number Of Beneficiaries Age 75 to 84 0
Number Of Beneficiaries Age Greater 84 0
Number Of Female Beneficiaries 53
Number Of Male Beneficiaries 43
Number Of Non Hispanic White Beneficiaries 60
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 12
Number Of Beneficiaries With Medicare Medicaid Entitlement 84
Percent Of With Atrial Fibrillation 0
Percent Of With Alzheimers Disease or Dementia
Percent Of With Asthma 18
Percent Of With Cancer
Percent Of With Heart Failure 13
Percent Of With Chronic Kidney Disease 17
Percent Of With Chronic Obstructive Pulmonary Disease 29
Percent Of With Depression 66
Percent Of With Diabetes 32
Percent Of With Hyperlipidemia 44
Percent Of With Hypertension 55
Percent Of With Ischemic Heart Disease 19
Percent Of With Osteoporosis
Percent Of With Rheumatoid Arthritis Osteoarthritis 30
Percent Of With Schizophrenia Other PsychoticDisorders 47
Percent Of With Stroke
Average HCC Risk Score Of Beneficiaries 1.4392

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