Medicare Facts for Diane Dewbre


National Provider Identifier [NPI]: 1417131038
Last Name Of The Provider DEWBRE
First Name Of The Provider DIANE
Middle Initial Of The Provider
Credentials Of The Provider GNP-BC
Gender Of The Provider F
Entity Type Of The Provider I
Street Address 1 Of The Provider 128 W MAIN ST
Street Address 2 Of The Provider
City Of The Provider PURCELL
Zip Code Of The Provider 730804220
State Code Of The Provider OK
Country Code Of The Provider US
Provider Type Of The Provider Nurse Practitioner
Medicare Participation Indicator Y
Number Of HCPCS 12
Number Of Services 193
Number Of Medicare Beneficiaries 65
Total Submitted Charge Amount 17560.72
Total Medicare Allowed Amount 11269.02
Total Medicare Payment Amount 8856.19
Total Medicare Standardized Payment Amount 11023.31
Drug Suppress Indicator *
Number Of HCPCS Associated With Drug Services
Number Of Drug Services
Number Of Medicare Beneficiaries With Drug Services
Total Drug Submitted ChargeAmount
Total Drug Medicare AllowedAmount
Total Drug Medicare PaymentAmount
Total Drug Medicare Standardized Payment Amount
Medical SuppressIndicator #
Number Of HCPCS Associated With MedicalServices
Number Of Medical Services
Number Of Medicare Beneficiaries With Medical Services
Total Medical Submitted Charge Amount
Total Medical Medicare Allowed Amount
Total Medical Medicare Payment Amount
Total Medical Medicare Standardized Payment Amount
Average Age Of Beneficiaries 77
Number Of Beneficiaries Age Less65
Number Of Beneficiaries Age 65 to 74 20
Number Of Beneficiaries Age 75 to 84
Number Of Beneficiaries Age Greater 84 20
Number Of Female Beneficiaries 51
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 36
Number Of Beneficiaries With Medicare Medicaid Entitlement 29
Percent Of With Atrial Fibrillation
Percent Of With Alzheimers Disease or Dementia 45
Percent Of With Asthma
Percent Of With Cancer
Percent Of With Heart Failure 34
Percent Of With Chronic Kidney Disease 25
Percent Of With Chronic Obstructive Pulmonary Disease 46
Percent Of With Depression 52
Percent Of With Diabetes 31
Percent Of With Hyperlipidemia 43
Percent Of With Hypertension 75
Percent Of With Ischemic Heart Disease 55
Percent Of With Osteoporosis
Percent Of With Rheumatoid Arthritis Osteoarthritis 65
Percent Of With Schizophrenia Other PsychoticDisorders 20
Percent Of With Stroke
Average HCC Risk Score Of Beneficiaries 1.4896

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