Medicare Facts for Kathleen A. Clifford


National Provider Identifier [NPI]: 1750303491
Last Name Of The Provider CLIFFORD
First Name Of The Provider KATHLEEN
Middle Initial Of The Provider
Credentials Of The Provider NP
Gender Of The Provider F
Entity Type Of The Provider I
Street Address 1 Of The Provider 100 E IDAHO ST
Street Address 2 Of The Provider
City Of The Provider BOISE
Zip Code Of The Provider 837126267
State Code Of The Provider ID
Country Code Of The Provider US
Provider Type Of The Provider Nurse Practitioner
Medicare Participation Indicator Y
Number Of HCPCS 4
Number Of Services 191
Number Of Medicare Beneficiaries 102
Total Submitted Charge Amount 12178
Total Medicare Allowed Amount 10373.82
Total Medicare Payment Amount 7671.56
Total Medicare Standardized Payment Amount 10128.25
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 191
Number Of Medicare Beneficiaries With Medical Services 102
Total Medical Submitted Charge Amount 12178
Total Medical Medicare Allowed Amount 10373.82
Total Medical Medicare Payment Amount 7671.56
Total Medical Medicare Standardized Payment Amount 10128.25
Average Age Of Beneficiaries 72
Number Of Beneficiaries Age Less65
Number Of Beneficiaries Age 65 to 74 51
Number Of Beneficiaries Age 75 to 84 29
Number Of Beneficiaries Age Greater 84
Number Of Female Beneficiaries 54
Number Of Male Beneficiaries 48
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 91
Number Of Beneficiaries With Medicare Medicaid Entitlement 11
Percent Of With Atrial Fibrillation
Percent Of With Alzheimers Disease or Dementia
Percent Of With Asthma
Percent Of With Cancer 45
Percent Of With Heart Failure 13
Percent Of With Chronic Kidney Disease 38
Percent Of With Chronic Obstructive Pulmonary Disease 15
Percent Of With Depression 29
Percent Of With Diabetes 18
Percent Of With Hyperlipidemia 31
Percent Of With Hypertension 48
Percent Of With Ischemic Heart Disease 22
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 2.1924

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