National Provider Identifier [NPI]: |
1699767103 |
Last Name Of The Provider |
MECHLING |
First Name Of The Provider |
KATHERINE |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
18173 REDWOOD HWY |
Street Address 2 Of The Provider |
|
City Of The Provider |
SELMA |
Zip Code Of The Provider |
975389732 |
State Code Of The Provider |
OR |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Family Practice |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
47 |
Number Of Services |
1017 |
Number Of Medicare Beneficiaries |
179 |
Total Submitted Charge Amount |
115298.22 |
Total Medicare Allowed Amount |
50340.32 |
Total Medicare Payment Amount |
34234.81 |
Total Medicare Standardized Payment Amount |
35412.94 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
8 |
Number Of Drug Services |
96 |
Number Of Medicare Beneficiaries With Drug Services |
53 |
Total Drug Submitted ChargeAmount |
1299.42 |
Total Drug Medicare AllowedAmount |
1046.27 |
Total Drug Medicare PaymentAmount |
989.76 |
Total Drug Medicare Standardized Payment Amount |
989.76 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
39 |
Number Of Medical Services |
921 |
Number Of Medicare Beneficiaries With Medical Services |
179 |
Total Medical Submitted Charge Amount |
113998.8 |
Total Medical Medicare Allowed Amount |
49294.05 |
Total Medical Medicare Payment Amount |
33245.05 |
Total Medical Medicare Standardized Payment Amount |
34423.18 |
Average Age Of Beneficiaries |
71 |
Number Of Beneficiaries Age Less65 |
22 |
Number Of Beneficiaries Age 65 to 74 |
104 |
Number Of Beneficiaries Age 75 to 84 |
40 |
Number Of Beneficiaries Age Greater 84 |
13 |
Number Of Female Beneficiaries |
92 |
Number Of Male Beneficiaries |
87 |
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 |
154 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
25 |
Percent Of With Atrial Fibrillation |
9 |
Percent Of With Alzheimers Disease or Dementia |
|
Percent Of With Asthma |
6 |
Percent Of With Cancer |
7 |
Percent Of With Heart Failure |
11 |
Percent Of With Chronic Kidney Disease |
12 |
Percent Of With Chronic Obstructive Pulmonary Disease |
11 |
Percent Of With Depression |
14 |
Percent Of With Diabetes |
20 |
Percent Of With Hyperlipidemia |
23 |
Percent Of With Hypertension |
47 |
Percent Of With Ischemic Heart Disease |
27 |
Percent Of With Osteoporosis |
|
Percent Of With Rheumatoid Arthritis Osteoarthritis |
32 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
|
Average HCC Risk Score Of Beneficiaries |
1.0047 |