Medicare Facts for Kelley S. Forster, CRNA


National Provider Identifier [NPI]: 1437433463
Last Name Of The Provider FORSTER
First Name Of The Provider KELLEY
Middle Initial Of The Provider S
Credentials Of The Provider CRNA
Gender Of The Provider F
Entity Type Of The Provider I
Street Address 1 Of The Provider 155 5TH ST NE
Street Address 2 Of The Provider
City Of The Provider BARBERTON
Zip Code Of The Provider 442033332
State Code Of The Provider OH
Country Code Of The Provider US
Provider Type Of The Provider CRNA
Medicare Participation Indicator Y
Number Of HCPCS 37
Number Of Services 128
Number Of Medicare Beneficiaries 125
Total Submitted Charge Amount 134461.34
Total Medicare Allowed Amount 17283.88
Total Medicare Payment Amount 13399.95
Total Medicare Standardized Payment Amount 13659.22
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 37
Number Of Medical Services 128
Number Of Medicare Beneficiaries With Medical Services 125
Total Medical Submitted Charge Amount 134461.34
Total Medical Medicare Allowed Amount 17283.88
Total Medical Medicare Payment Amount 13399.95
Total Medical Medicare Standardized Payment Amount 13659.22
Average Age Of Beneficiaries 72
Number Of Beneficiaries Age Less65 26
Number Of Beneficiaries Age 65 to 74 39
Number Of Beneficiaries Age 75 to 84 42
Number Of Beneficiaries Age Greater 84 18
Number Of Female Beneficiaries 71
Number Of Male Beneficiaries 54
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 92
Number Of Beneficiaries With Medicare Medicaid Entitlement 33
Percent Of With Atrial Fibrillation 24
Percent Of With Alzheimers Disease or Dementia 15
Percent Of With Asthma 14
Percent Of With Cancer 17
Percent Of With Heart Failure 34
Percent Of With Chronic Kidney Disease 40
Percent Of With Chronic Obstructive Pulmonary Disease 37
Percent Of With Depression 35
Percent Of With Diabetes 41
Percent Of With Hyperlipidemia 55
Percent Of With Hypertension 75
Percent Of With Ischemic Heart Disease 46
Percent Of With Osteoporosis 18
Percent Of With Rheumatoid Arthritis Osteoarthritis 62
Percent Of With Schizophrenia Other PsychoticDisorders
Percent Of With Stroke 10
Average HCC Risk Score Of Beneficiaries 1.6271

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