Medicare Facts for Gunny Hagelberg-Cherrytree, CRNA


National Provider Identifier [NPI]: 1649242645
Last Name Of The Provider HAGELBERG-CHERRYTREE
First Name Of The Provider GUNNY
Middle Initial Of The Provider
Credentials Of The Provider CRNA
Gender Of The Provider F
Entity Type Of The Provider I
Street Address 1 Of The Provider 3181 SW SAM JACKSON PARK ROAD
Street Address 2 Of The Provider
City Of The Provider PORTLAND
Zip Code Of The Provider 972393098
State Code Of The Provider OR
Country Code Of The Provider US
Provider Type Of The Provider CRNA
Medicare Participation Indicator Y
Number Of HCPCS 4
Number Of Services 123
Number Of Medicare Beneficiaries 118
Total Submitted Charge Amount 85087
Total Medicare Allowed Amount 25208.63
Total Medicare Payment Amount 19527.31
Total Medicare Standardized Payment Amount 20575.37
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 4
Number Of Medical Services 123
Number Of Medicare Beneficiaries With Medical Services 118
Total Medical Submitted Charge Amount 85087
Total Medical Medicare Allowed Amount 25208.63
Total Medical Medicare Payment Amount 19527.31
Total Medical Medicare Standardized Payment Amount 20575.37
Average Age Of Beneficiaries 75
Number Of Beneficiaries Age Less65
Number Of Beneficiaries Age 65 to 74 57
Number Of Beneficiaries Age 75 to 84 43
Number Of Beneficiaries Age Greater 84
Number Of Female Beneficiaries 63
Number Of Male Beneficiaries 55
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 103
Number Of Beneficiaries With Medicare Medicaid Entitlement 15
Percent Of With Atrial Fibrillation 9
Percent Of With Alzheimers Disease or Dementia 11
Percent Of With Asthma
Percent Of With Cancer
Percent Of With Heart Failure 10
Percent Of With Chronic Kidney Disease 18
Percent Of With Chronic Obstructive Pulmonary Disease
Percent Of With Depression 18
Percent Of With Diabetes 28
Percent Of With Hyperlipidemia 46
Percent Of With Hypertension 57
Percent Of With Ischemic Heart Disease 20
Percent Of With Osteoporosis
Percent Of With Rheumatoid Arthritis Osteoarthritis 31
Percent Of With Schizophrenia Other PsychoticDisorders
Percent Of With Stroke
Average HCC Risk Score Of Beneficiaries 1.0172

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