Medicare Facts for Kerrie L. Sullivan


National Provider Identifier [NPI]: 1619074077
Last Name Of The Provider SULLIVAN
First Name Of The Provider KERRIE
Middle Initial Of The Provider L
Credentials Of The Provider RN CFNP MSN
Gender Of The Provider F
Entity Type Of The Provider I
Street Address 1 Of The Provider 2002 MEDICAL PKWY
Street Address 2 Of The Provider SUITE 430
City Of The Provider ANNAPOLIS
Zip Code Of The Provider 214013046
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 4
Number Of Services 78
Number Of Medicare Beneficiaries 71
Total Submitted Charge Amount 21777
Total Medicare Allowed Amount 9058.41
Total Medicare Payment Amount 6871.27
Total Medicare Standardized Payment Amount 7616.28
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 78
Number Of Medicare Beneficiaries With Medical Services 71
Total Medical Submitted Charge Amount 21777
Total Medical Medicare Allowed Amount 9058.41
Total Medical Medicare Payment Amount 6871.27
Total Medical Medicare Standardized Payment Amount 7616.28
Average Age Of Beneficiaries 72
Number Of Beneficiaries Age Less65
Number Of Beneficiaries Age 65 to 74 43
Number Of Beneficiaries Age 75 to 84
Number Of Beneficiaries Age Greater 84
Number Of Female Beneficiaries 35
Number Of Male Beneficiaries 36
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 15
Percent Of With Heart Failure
Percent Of With Chronic Kidney Disease
Percent Of With Chronic Obstructive Pulmonary Disease
Percent Of With Depression 23
Percent Of With Diabetes 38
Percent Of With Hyperlipidemia 69
Percent Of With Hypertension 69
Percent Of With Ischemic Heart Disease 41
Percent Of With Osteoporosis
Percent Of With Rheumatoid Arthritis Osteoarthritis 75
Percent Of With Schizophrenia Other PsychoticDisorders
Percent Of With Stroke
Average HCC Risk Score Of Beneficiaries 0.9728

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