Medicare Facts for Kelly Koons, BCBA


National Provider Identifier [NPI]: 1912344573
Last Name Of The Provider KOONS
First Name Of The Provider KELLY
Middle Initial Of The Provider
Credentials Of The Provider RD, CDE, LD
Gender Of The Provider F
Entity Type Of The Provider I
Street Address 1 Of The Provider 109 W KNAPP AVE
Street Address 2 Of The Provider
City Of The Provider EDGEWATER
Zip Code Of The Provider 321321555
State Code Of The Provider FL
Country Code Of The Provider US
Provider Type Of The Provider Registered Dietician/Nutrition Professional
Medicare Participation Indicator Y
Number Of HCPCS 2
Number Of Services 346
Number Of Medicare Beneficiaries 67
Total Submitted Charge Amount 14560
Total Medicare Allowed Amount 9656.16
Total Medicare Payment Amount 9462.63
Total Medicare Standardized Payment Amount 3666.91
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 2
Number Of Medical Services 346
Number Of Medicare Beneficiaries With Medical Services 67
Total Medical Submitted Charge Amount 14560
Total Medical Medicare Allowed Amount 9656.16
Total Medical Medicare Payment Amount 9462.63
Total Medical Medicare Standardized Payment Amount 3666.91
Average Age Of Beneficiaries 68
Number Of Beneficiaries Age Less65 13
Number Of Beneficiaries Age 65 to 74 38
Number Of Beneficiaries Age 75 to 84 16
Number Of Beneficiaries Age Greater 84 0
Number Of Female Beneficiaries 33
Number Of Male Beneficiaries 34
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 33
Percent Of With Chronic Obstructive Pulmonary Disease
Percent Of With Depression 16
Percent Of With Diabetes 75
Percent Of With Hyperlipidemia 75
Percent Of With Hypertension 75
Percent Of With Ischemic Heart Disease 48
Percent Of With Osteoporosis
Percent Of With Rheumatoid Arthritis Osteoarthritis 37
Percent Of With Schizophrenia Other PsychoticDisorders 0
Percent Of With Stroke
Average HCC Risk Score Of Beneficiaries 1.1528

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