Medicare Facts for Diane M. Kimball, NP


National Provider Identifier [NPI]: 1083603575
Last Name Of The Provider KIMBALL
First Name Of The Provider DIANE
Middle Initial Of The Provider M
Credentials Of The Provider NP
Gender Of The Provider F
Entity Type Of The Provider I
Street Address 1 Of The Provider 920 COUNTRY CLUB RD
Street Address 2 Of The Provider SUITE 200A
City Of The Provider EUGENE
Zip Code Of The Provider 974016024
State Code Of The Provider OR
Country Code Of The Provider US
Provider Type Of The Provider Nurse Practitioner
Medicare Participation Indicator Y
Number Of HCPCS 69
Number Of Services 1195
Number Of Medicare Beneficiaries 188
Total Submitted Charge Amount 112642
Total Medicare Allowed Amount 37426.12
Total Medicare Payment Amount 28572.01
Total Medicare Standardized Payment Amount 34078.4
Drug Suppress Indicator
Number Of HCPCS Associated With Drug Services 8
Number Of Drug Services 66
Number Of Medicare Beneficiaries With Drug Services 42
Total Drug Submitted ChargeAmount 1747
Total Drug Medicare AllowedAmount 1189.5
Total Drug Medicare PaymentAmount 1043.22
Total Drug Medicare Standardized Payment Amount 1043.22
Medical SuppressIndicator
Number Of HCPCS Associated With MedicalServices 61
Number Of Medical Services 1129
Number Of Medicare Beneficiaries With Medical Services 188
Total Medical Submitted Charge Amount 110895
Total Medical Medicare Allowed Amount 36236.62
Total Medical Medicare Payment Amount 27528.79
Total Medical Medicare Standardized Payment Amount 33035.18
Average Age Of Beneficiaries 70
Number Of Beneficiaries Age Less65 38
Number Of Beneficiaries Age 65 to 74 72
Number Of Beneficiaries Age 75 to 84 58
Number Of Beneficiaries Age Greater 84 20
Number Of Female Beneficiaries 116
Number Of Male Beneficiaries 72
Number Of Non Hispanic White Beneficiaries 176
Number Of Black or African American Beneficiaries
Number Of AsianPacific Islander Beneficiaries
Number Of Hispanic Beneficiaries
Number Of American Indian Alaska Native Beneficiaries 0
Number Of Beneficiaries With Race Not Else where Classified
Number Of Beneficiaries With Medicare Only Entitlement 149
Number Of Beneficiaries With Medicare Medicaid Entitlement 39
Percent Of With Atrial Fibrillation 8
Percent Of With Alzheimers Disease or Dementia
Percent Of With Asthma
Percent Of With Cancer 7
Percent Of With Heart Failure 6
Percent Of With Chronic Kidney Disease 17
Percent Of With Chronic Obstructive Pulmonary Disease
Percent Of With Depression 27
Percent Of With Diabetes 21
Percent Of With Hyperlipidemia 39
Percent Of With Hypertension 43
Percent Of With Ischemic Heart Disease 12
Percent Of With Osteoporosis 7
Percent Of With Rheumatoid Arthritis Osteoarthritis 26
Percent Of With Schizophrenia Other PsychoticDisorders
Percent Of With Stroke
Average HCC Risk Score Of Beneficiaries 0.8542

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