Medicare Facts for Jacqueline M. Monroe, ARNP


National Provider Identifier [NPI]: 1710939103
Last Name Of The Provider MONROE
First Name Of The Provider JACQUELINE
Middle Initial Of The Provider M
Credentials Of The Provider ARNP
Gender Of The Provider F
Entity Type Of The Provider I
Street Address 1 Of The Provider 1410 SW TRADITION DR
Street Address 2 Of The Provider STE 260
City Of The Provider ANKENY
Zip Code Of The Provider 500239188
State Code Of The Provider IA
Country Code Of The Provider US
Provider Type Of The Provider Nurse Practitioner
Medicare Participation Indicator Y
Number Of HCPCS 17
Number Of Services 91
Number Of Medicare Beneficiaries 45
Total Submitted Charge Amount 8126
Total Medicare Allowed Amount 3533.48
Total Medicare Payment Amount 2666.35
Total Medicare Standardized Payment Amount 3422.61
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 17
Number Of Medical Services 91
Number Of Medicare Beneficiaries With Medical Services 45
Total Medical Submitted Charge Amount 8126
Total Medical Medicare Allowed Amount 3533.48
Total Medical Medicare Payment Amount 2666.35
Total Medical Medicare Standardized Payment Amount 3422.61
Average Age Of Beneficiaries 69
Number Of Beneficiaries Age Less65
Number Of Beneficiaries Age 65 to 74 18
Number Of Beneficiaries Age 75 to 84 16
Number Of Beneficiaries Age Greater 84
Number Of Female Beneficiaries 45
Number Of Male Beneficiaries 0
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
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 29
Percent Of With Diabetes
Percent Of With Hyperlipidemia 40
Percent Of With Hypertension 47
Percent Of With Ischemic Heart Disease
Percent Of With Osteoporosis
Percent Of With Rheumatoid Arthritis Osteoarthritis 31
Percent Of With Schizophrenia Other PsychoticDisorders
Percent Of With Stroke 0
Average HCC Risk Score Of Beneficiaries 0.7049

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