National Provider Identifier [NPI]: |
1013918945 |
Last Name Of The Provider |
VANSCHOICK-OVERBEEK |
First Name Of The Provider |
HEATHER |
Middle Initial Of The Provider |
E |
Credentials Of The Provider |
PA |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
2 HERITAGE OAK LN |
Street Address 2 Of The Provider |
|
City Of The Provider |
BATTLE CREEK |
Zip Code Of The Provider |
490154250 |
State Code Of The Provider |
MI |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Physician Assistant |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
60 |
Number Of Services |
2809 |
Number Of Medicare Beneficiaries |
290 |
Total Submitted Charge Amount |
183123 |
Total Medicare Allowed Amount |
67338.73 |
Total Medicare Payment Amount |
51237.05 |
Total Medicare Standardized Payment Amount |
55632.39 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
5 |
Number Of Drug Services |
2146 |
Number Of Medicare Beneficiaries With Drug Services |
84 |
Total Drug Submitted ChargeAmount |
60495 |
Total Drug Medicare AllowedAmount |
32143.45 |
Total Drug Medicare PaymentAmount |
25076.41 |
Total Drug Medicare Standardized Payment Amount |
25076.41 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
55 |
Number Of Medical Services |
663 |
Number Of Medicare Beneficiaries With Medical Services |
290 |
Total Medical Submitted Charge Amount |
122628 |
Total Medical Medicare Allowed Amount |
35195.28 |
Total Medical Medicare Payment Amount |
26160.64 |
Total Medical Medicare Standardized Payment Amount |
30555.98 |
Average Age Of Beneficiaries |
70 |
Number Of Beneficiaries Age Less65 |
71 |
Number Of Beneficiaries Age 65 to 74 |
110 |
Number Of Beneficiaries Age 75 to 84 |
71 |
Number Of Beneficiaries Age Greater 84 |
38 |
Number Of Female Beneficiaries |
205 |
Number Of Male Beneficiaries |
85 |
Number Of Non Hispanic White Beneficiaries |
260 |
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 |
225 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
65 |
Percent Of With Atrial Fibrillation |
8 |
Percent Of With Alzheimers Disease or Dementia |
11 |
Percent Of With Asthma |
13 |
Percent Of With Cancer |
10 |
Percent Of With Heart Failure |
21 |
Percent Of With Chronic Kidney Disease |
22 |
Percent Of With Chronic Obstructive Pulmonary Disease |
21 |
Percent Of With Depression |
32 |
Percent Of With Diabetes |
36 |
Percent Of With Hyperlipidemia |
56 |
Percent Of With Hypertension |
74 |
Percent Of With Ischemic Heart Disease |
38 |
Percent Of With Osteoporosis |
12 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
75 |
Percent Of With Schizophrenia Other PsychoticDisorders |
4 |
Percent Of With Stroke |
4 |
Average HCC Risk Score Of Beneficiaries |
1.1824 |