Medicare Facts for Dr. Ursula C. Livermore, MD


National Provider Identifier [NPI]: 1376501429
Last Name Of The Provider LIVERMORE
First Name Of The Provider URSULA
Middle Initial Of The Provider C
Credentials Of The Provider M.D
Gender Of The Provider F
Entity Type Of The Provider I
Street Address 1 Of The Provider 1201 3RD AVE SE
Street Address 2 Of The Provider
City Of The Provider CEDAR RAPIDS
Zip Code Of The Provider 524034005
State Code Of The Provider IA
Country Code Of The Provider US
Provider Type Of The Provider Family Practice
Medicare Participation Indicator Y
Number Of HCPCS 8
Number Of Services 70
Number Of Medicare Beneficiaries 32
Total Submitted Charge Amount 608
Total Medicare Allowed Amount 269.59
Total Medicare Payment Amount 264.09
Total Medicare Standardized Payment Amount 284.93
Drug Suppress Indicator
Number Of HCPCS Associated With Drug Services 0
Number Of Drug Services 0
Number Of Medicare Beneficiaries With Drug Services 0
Total Drug Submitted ChargeAmount 0
Total Drug Medicare AllowedAmount 0
Total Drug Medicare PaymentAmount 0
Total Drug Medicare Standardized Payment Amount 0
Medical SuppressIndicator
Number Of HCPCS Associated With MedicalServices 8
Number Of Medical Services 70
Number Of Medicare Beneficiaries With Medical Services 32
Total Medical Submitted Charge Amount 608
Total Medical Medicare Allowed Amount 269.59
Total Medical Medicare Payment Amount 264.09
Total Medical Medicare Standardized Payment Amount 284.93
Average Age Of Beneficiaries 54
Number Of Beneficiaries Age Less65
Number Of Beneficiaries Age 65 to 74
Number Of Beneficiaries Age 75 to 84
Number Of Beneficiaries Age Greater 84
Number Of Female Beneficiaries
Number Of Male Beneficiaries
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 0
Percent Of With Alzheimers Disease or Dementia 0
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 47
Percent Of With Diabetes 34
Percent Of With Hyperlipidemia 44
Percent Of With Hypertension 44
Percent Of With Ischemic Heart Disease
Percent Of With Osteoporosis
Percent Of With Rheumatoid Arthritis Osteoarthritis 38
Percent Of With Schizophrenia Other PsychoticDisorders
Percent Of With Stroke 0
Average HCC Risk Score Of Beneficiaries 1.4512

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