Medicare Facts for Dr. Theresa S. Devere, MD


National Provider Identifier [NPI]: 1316952823
Last Name Of The Provider DEVERE
First Name Of The Provider THERESA
Middle Initial Of The Provider S
Credentials Of The Provider MD
Gender Of The Provider F
Entity Type Of The Provider I
Street Address 1 Of The Provider 2828 PAA ST
Street Address 2 Of The Provider
City Of The Provider HONOLULU
Zip Code Of The Provider 968194430
State Code Of The Provider HI
Country Code Of The Provider US
Provider Type Of The Provider Dermatology
Medicare Participation Indicator Y
Number Of HCPCS 21
Number Of Services 255
Number Of Medicare Beneficiaries 40
Total Submitted Charge Amount 25371
Total Medicare Allowed Amount 11838.55
Total Medicare Payment Amount 7187.49
Total Medicare Standardized Payment Amount 7636.96
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 71
Number Of Beneficiaries Age Less65
Number Of Beneficiaries Age 65 to 74 24
Number Of Beneficiaries Age 75 to 84
Number Of Beneficiaries Age Greater 84
Number Of Female Beneficiaries 19
Number Of Male Beneficiaries 21
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 0
Percent Of With Diabetes
Percent Of With Hyperlipidemia 50
Percent Of With Hypertension 43
Percent Of With Ischemic Heart Disease
Percent Of With Osteoporosis
Percent Of With Rheumatoid Arthritis Osteoarthritis
Percent Of With Schizophrenia Other PsychoticDisorders 0
Percent Of With Stroke 0
Average HCC Risk Score Of Beneficiaries 0.6346

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