Medicare Facts for Erica D. Gutshall, WHNP


National Provider Identifier [NPI]: 1518204973
Last Name Of The Provider GUTSHALL
First Name Of The Provider ERICA
Middle Initial Of The Provider D
Credentials Of The Provider WHNP
Gender Of The Provider F
Entity Type Of The Provider I
Street Address 1 Of The Provider 77 EAST MIDLOTHIAN BLVD
Street Address 2 Of The Provider
City Of The Provider YOUNGSTOWN
Zip Code Of The Provider 445072021
State Code Of The Provider OH
Country Code Of The Provider US
Provider Type Of The Provider Nurse Practitioner
Medicare Participation Indicator Y
Number Of HCPCS 12
Number Of Services 82
Number Of Medicare Beneficiaries 26
Total Submitted Charge Amount 3958
Total Medicare Allowed Amount 1539.7
Total Medicare Payment Amount 1215.91
Total Medicare Standardized Payment Amount 1411.39
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 82
Number Of Medicare Beneficiaries With Medical Services 26
Total Medical Submitted Charge Amount 3958
Total Medical Medicare Allowed Amount 1539.7
Total Medical Medicare Payment Amount 1215.91
Total Medical Medicare Standardized Payment Amount 1411.39
Average Age Of Beneficiaries 39
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 0
Percent Of With Heart Failure 0
Percent Of With Chronic Kidney Disease
Percent Of With Chronic Obstructive Pulmonary Disease
Percent Of With Depression
Percent Of With Diabetes
Percent Of With Hyperlipidemia 0
Percent Of With Hypertension
Percent Of With Ischemic Heart Disease 0
Percent Of With Osteoporosis 0
Percent Of With Rheumatoid Arthritis Osteoarthritis
Percent Of With Schizophrenia Other PsychoticDisorders
Percent Of With Stroke 0
Average HCC Risk Score Of Beneficiaries 0.674

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