Medicare Facts for Gary D. Street, RN


National Provider Identifier [NPI]: 1558464834
Last Name Of The Provider STREET
First Name Of The Provider GARY
Middle Initial Of The Provider R
Credentials Of The Provider D.C., PH.C., L.C.P.,
Gender Of The Provider M
Entity Type Of The Provider I
Street Address 1 Of The Provider 400 S WEST ST
Street Address 2 Of The Provider
City Of The Provider OLNEY
Zip Code Of The Provider 624501217
State Code Of The Provider IL
Country Code Of The Provider US
Provider Type Of The Provider Chiropractic
Medicare Participation Indicator Y
Number Of HCPCS 2
Number Of Services 2312
Number Of Medicare Beneficiaries 84
Total Submitted Charge Amount 85903.82
Total Medicare Allowed Amount 85637.12
Total Medicare Payment Amount 61367.69
Total Medicare Standardized Payment Amount 71311.76
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 2
Number Of Medical Services 2312
Number Of Medicare Beneficiaries With Medical Services 84
Total Medical Submitted Charge Amount 85903.82
Total Medical Medicare Allowed Amount 85637.12
Total Medical Medicare Payment Amount 61367.69
Total Medical Medicare Standardized Payment Amount 71311.76
Average Age Of Beneficiaries 75
Number Of Beneficiaries Age Less65
Number Of Beneficiaries Age 65 to 74 37
Number Of Beneficiaries Age 75 to 84 24
Number Of Beneficiaries Age Greater 84
Number Of Female Beneficiaries 51
Number Of Male Beneficiaries 33
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 73
Number Of Beneficiaries With Medicare Medicaid Entitlement 11
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 20
Percent Of With Chronic Kidney Disease 18
Percent Of With Chronic Obstructive Pulmonary Disease
Percent Of With Depression
Percent Of With Diabetes 33
Percent Of With Hyperlipidemia 46
Percent Of With Hypertension 68
Percent Of With Ischemic Heart Disease 36
Percent Of With Osteoporosis
Percent Of With Rheumatoid Arthritis Osteoarthritis 75
Percent Of With Schizophrenia Other PsychoticDisorders
Percent Of With Stroke
Average HCC Risk Score Of Beneficiaries 1.1081

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