Medicare Facts for Dr. Lisa M. Hazelton, MD


National Provider Identifier [NPI]: 1831205392
Last Name Of The Provider HAZELTON
First Name Of The Provider LISA
Middle Initial Of The Provider M
Credentials Of The Provider MD
Gender Of The Provider F
Entity Type Of The Provider I
Street Address 1 Of The Provider 115 8TH ST NE
Street Address 2 Of The Provider
City Of The Provider CEDAR RAPIDS
Zip Code Of The Provider 524011013
State Code Of The Provider IA
Country Code Of The Provider US
Provider Type Of The Provider Internal Medicine
Medicare Participation Indicator Y
Number Of HCPCS 61
Number Of Services 4727
Number Of Medicare Beneficiaries 477
Total Submitted Charge Amount 449731
Total Medicare Allowed Amount 208824.9
Total Medicare Payment Amount 162438.29
Total Medicare Standardized Payment Amount 173597.49
Drug Suppress Indicator
Number Of HCPCS Associated With Drug Services 5
Number Of Drug Services 228
Number Of Medicare Beneficiaries With Drug Services 180
Total Drug Submitted ChargeAmount 9506
Total Drug Medicare AllowedAmount 7077.36
Total Drug Medicare PaymentAmount 6904.04
Total Drug Medicare Standardized Payment Amount 6904.04
Medical SuppressIndicator
Number Of HCPCS Associated With MedicalServices 56
Number Of Medical Services 4499
Number Of Medicare Beneficiaries With Medical Services 477
Total Medical Submitted Charge Amount 440225
Total Medical Medicare Allowed Amount 201747.54
Total Medical Medicare Payment Amount 155534.25
Total Medical Medicare Standardized Payment Amount 166693.45
Average Age Of Beneficiaries 75
Number Of Beneficiaries Age Less65 31
Number Of Beneficiaries Age 65 to 74 192
Number Of Beneficiaries Age 75 to 84 167
Number Of Beneficiaries Age Greater 84 87
Number Of Female Beneficiaries 336
Number Of Male Beneficiaries 141
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 444
Number Of Beneficiaries With Medicare Medicaid Entitlement 33
Percent Of With Atrial Fibrillation 10
Percent Of With Alzheimers Disease or Dementia 10
Percent Of With Asthma 4
Percent Of With Cancer 8
Percent Of With Heart Failure 13
Percent Of With Chronic Kidney Disease 24
Percent Of With Chronic Obstructive Pulmonary Disease 10
Percent Of With Depression 27
Percent Of With Diabetes 35
Percent Of With Hyperlipidemia 66
Percent Of With Hypertension 74
Percent Of With Ischemic Heart Disease 29
Percent Of With Osteoporosis 8
Percent Of With Rheumatoid Arthritis Osteoarthritis 34
Percent Of With Schizophrenia Other PsychoticDisorders 3
Percent Of With Stroke 2
Average HCC Risk Score Of Beneficiaries 1.0878

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