Medicare Facts for Julia A. Wells, MA


National Provider Identifier [NPI]: 1962698266
Last Name Of The Provider WELLS
First Name Of The Provider JULIA
Middle Initial Of The Provider E
Credentials Of The Provider PA-C
Gender Of The Provider F
Entity Type Of The Provider I
Street Address 1 Of The Provider 1001 BLYTHE BLVD
Street Address 2 Of The Provider SUITE 300
City Of The Provider CHARLOTTE
Zip Code Of The Provider 282035866
State Code Of The Provider NC
Country Code Of The Provider US
Provider Type Of The Provider Physician Assistant
Medicare Participation Indicator Y
Number Of HCPCS 12
Number Of Services 33
Number Of Medicare Beneficiaries 13
Total Submitted Charge Amount 37434
Total Medicare Allowed Amount 3734.57
Total Medicare Payment Amount 2927.96
Total Medicare Standardized Payment Amount 3116.32
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 33
Number Of Medicare Beneficiaries With Medical Services 13
Total Medical Submitted Charge Amount 37434
Total Medical Medicare Allowed Amount 3734.57
Total Medical Medicare Payment Amount 2927.96
Total Medical Medicare Standardized Payment Amount 3116.32
Average Age Of Beneficiaries 67
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
Percent Of With Alzheimers Disease or Dementia 0
Percent Of With Asthma 0
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
Percent Of With Diabetes
Percent Of With Hyperlipidemia 75
Percent Of With Hypertension 75
Percent Of With Ischemic Heart Disease 75
Percent Of With Osteoporosis 0
Percent Of With Rheumatoid Arthritis Osteoarthritis
Percent Of With Schizophrenia Other PsychoticDisorders 0
Percent Of With Stroke
Average HCC Risk Score Of Beneficiaries 1.3121

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