Medicare Facts for Elisa S. Hardin, OTR


National Provider Identifier [NPI]: 1306041751
Last Name Of The Provider HARDIN
First Name Of The Provider ELISA
Middle Initial Of The Provider S
Credentials Of The Provider OTR/L
Gender Of The Provider F
Entity Type Of The Provider I
Street Address 1 Of The Provider 980 JOHNSON FERRY RD NE
Street Address 2 Of The Provider SUITE 1000
City Of The Provider ATLANTA
Zip Code Of The Provider 303421626
State Code Of The Provider GA
Country Code Of The Provider US
Provider Type Of The Provider Occupational therapist
Medicare Participation Indicator Y
Number Of HCPCS 12
Number Of Services 336
Number Of Medicare Beneficiaries 66
Total Submitted Charge Amount 29214
Total Medicare Allowed Amount 10340.33
Total Medicare Payment Amount 7716.41
Total Medicare Standardized Payment Amount 6428
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 12
Number Of Medical Services 336
Number Of Medicare Beneficiaries With Medical Services 66
Total Medical Submitted Charge Amount 29214
Total Medical Medicare Allowed Amount 10340.33
Total Medical Medicare Payment Amount 7716.41
Total Medical Medicare Standardized Payment Amount 6428
Average Age Of Beneficiaries 72
Number Of Beneficiaries Age Less65
Number Of Beneficiaries Age 65 to 74 41
Number Of Beneficiaries Age 75 to 84
Number Of Beneficiaries Age Greater 84
Number Of Female Beneficiaries 39
Number Of Male Beneficiaries 27
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
Percent Of With Diabetes 17
Percent Of With Hyperlipidemia 59
Percent Of With Hypertension 56
Percent Of With Ischemic Heart Disease 27
Percent Of With Osteoporosis
Percent Of With Rheumatoid Arthritis Osteoarthritis 59
Percent Of With Schizophrenia Other PsychoticDisorders 0
Percent Of With Stroke
Average HCC Risk Score Of Beneficiaries 0.7051

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