Medicare Facts for Elizabeth J. Caven


National Provider Identifier [NPI]: 1467591578
Last Name Of The Provider CAVEN
First Name Of The Provider ELIZABETH
Middle Initial Of The Provider J
Credentials Of The Provider PSY D LP
Gender Of The Provider F
Entity Type Of The Provider I
Street Address 1 Of The Provider FIVE COUNTY MENTAL HEALTH CENTER
Street Address 2 Of The Provider 521 BROADWAY AVENUE NORTH
City Of The Provider BRAHAM
Zip Code Of The Provider 55006
State Code Of The Provider MI
Country Code Of The Provider US
Provider Type Of The Provider Clinical Psychologist
Medicare Participation Indicator Y
Number Of HCPCS 5
Number Of Services 187
Number Of Medicare Beneficiaries 45
Total Submitted Charge Amount 40561.39
Total Medicare Allowed Amount 22507.68
Total Medicare Payment Amount 16816.25
Total Medicare Standardized Payment Amount 17406.35
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 5
Number Of Medical Services 187
Number Of Medicare Beneficiaries With Medical Services 45
Total Medical Submitted Charge Amount 40561.39
Total Medical Medicare Allowed Amount 22507.68
Total Medical Medicare Payment Amount 16816.25
Total Medical Medicare Standardized Payment Amount 17406.35
Average Age Of Beneficiaries 46
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 25
Number Of Male Beneficiaries 20
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 11
Number Of Beneficiaries With Medicare Medicaid Entitlement 34
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 75
Percent Of With Diabetes
Percent Of With Hyperlipidemia 40
Percent Of With Hypertension 31
Percent Of With Ischemic Heart Disease
Percent Of With Osteoporosis
Percent Of With Rheumatoid Arthritis Osteoarthritis 27
Percent Of With Schizophrenia Other PsychoticDisorders 33
Percent Of With Stroke 0
Average HCC Risk Score Of Beneficiaries 1.0733

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