Medicare Facts for Diana V. Cratem, OT


National Provider Identifier [NPI]: 1457356867
Last Name Of The Provider CRATEM
First Name Of The Provider DIANA
Middle Initial Of The Provider V
Credentials Of The Provider OT
Gender Of The Provider F
Entity Type Of The Provider I
Street Address 1 Of The Provider 5737 BARNHILL DR STE 204
Street Address 2 Of The Provider CREDENTIALING DEPARTMENT
City Of The Provider JACKSONVILLE
Zip Code Of The Provider 322077189
State Code Of The Provider FL
Country Code Of The Provider US
Provider Type Of The Provider Occupational therapist
Medicare Participation Indicator Y
Number Of HCPCS 6
Number Of Services 1089
Number Of Medicare Beneficiaries 40
Total Submitted Charge Amount 62081
Total Medicare Allowed Amount 30865.14
Total Medicare Payment Amount 23979.39
Total Medicare Standardized Payment Amount 18190.15
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 6
Number Of Medical Services 1089
Number Of Medicare Beneficiaries With Medical Services 40
Total Medical Submitted Charge Amount 62081
Total Medical Medicare Allowed Amount 30865.14
Total Medical Medicare Payment Amount 23979.39
Total Medical Medicare Standardized Payment Amount 18190.15
Average Age Of Beneficiaries 75
Number Of Beneficiaries Age Less65
Number Of Beneficiaries Age 65 to 74 18
Number Of Beneficiaries Age 75 to 84
Number Of Beneficiaries Age Greater 84
Number Of Female Beneficiaries 28
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
Percent Of With Hyperlipidemia 65
Percent Of With Hypertension 75
Percent Of With Ischemic Heart Disease 43
Percent Of With Osteoporosis
Percent Of With Rheumatoid Arthritis Osteoarthritis 58
Percent Of With Schizophrenia Other PsychoticDisorders
Percent Of With Stroke
Average HCC Risk Score Of Beneficiaries 0.9982

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