Medicare Facts for Karen A. Plaisir, CRNP


National Provider Identifier [NPI]: 1457568651
Last Name Of The Provider PLAISIR
First Name Of The Provider KAREN
Middle Initial Of The Provider A
Credentials Of The Provider CRNP
Gender Of The Provider F
Entity Type Of The Provider I
Street Address 1 Of The Provider 620 N CAROLINE ST
Street Address 2 Of The Provider EASTERN HEALTH DISTRICT
City Of The Provider BALTIMORE
Zip Code Of The Provider 212051839
State Code Of The Provider MD
Country Code Of The Provider US
Provider Type Of The Provider Nurse Practitioner
Medicare Participation Indicator Y
Number Of HCPCS 19
Number Of Services 303
Number Of Medicare Beneficiaries 179
Total Submitted Charge Amount 30572.83
Total Medicare Allowed Amount 12689.78
Total Medicare Payment Amount 10795.01
Total Medicare Standardized Payment Amount 11879.14
Drug Suppress Indicator
Number Of HCPCS Associated With Drug Services 3
Number Of Drug Services 17
Number Of Medicare Beneficiaries With Drug Services 17
Total Drug Submitted ChargeAmount 592.83
Total Drug Medicare AllowedAmount 533.55
Total Drug Medicare PaymentAmount 522.88
Total Drug Medicare Standardized Payment Amount 522.88
Medical SuppressIndicator
Number Of HCPCS Associated With MedicalServices 16
Number Of Medical Services 286
Number Of Medicare Beneficiaries With Medical Services 179
Total Medical Submitted Charge Amount 29980
Total Medical Medicare Allowed Amount 12156.23
Total Medical Medicare Payment Amount 10272.13
Total Medical Medicare Standardized Payment Amount 11356.26
Average Age Of Beneficiaries 70
Number Of Beneficiaries Age Less65 23
Number Of Beneficiaries Age 65 to 74 106
Number Of Beneficiaries Age 75 to 84 39
Number Of Beneficiaries Age Greater 84 11
Number Of Female Beneficiaries
Number Of Male Beneficiaries
Number Of Non Hispanic White Beneficiaries 139
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 166
Number Of Beneficiaries With Medicare Medicaid Entitlement 13
Percent Of With Atrial Fibrillation
Percent Of With Alzheimers Disease or Dementia
Percent Of With Asthma
Percent Of With Cancer 11
Percent Of With Heart Failure 6
Percent Of With Chronic Kidney Disease 9
Percent Of With Chronic Obstructive Pulmonary Disease 6
Percent Of With Depression 20
Percent Of With Diabetes 17
Percent Of With Hyperlipidemia 50
Percent Of With Hypertension 49
Percent Of With Ischemic Heart Disease 21
Percent Of With Osteoporosis 7
Percent Of With Rheumatoid Arthritis Osteoarthritis 33
Percent Of With Schizophrenia Other PsychoticDisorders
Percent Of With Stroke
Average HCC Risk Score Of Beneficiaries 0.9642

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