Medicare Facts for Kim A. Vitacco, NP


National Provider Identifier [NPI]: 1912908484
Last Name Of The Provider VITACCO
First Name Of The Provider KIM
Middle Initial Of The Provider A
Credentials Of The Provider NP
Gender Of The Provider F
Entity Type Of The Provider I
Street Address 1 Of The Provider 400 HORSEBLOCK RD STE H
Street Address 2 Of The Provider
City Of The Provider FARMINGVILLE
Zip Code Of The Provider 117381252
State Code Of The Provider NY
Country Code Of The Provider US
Provider Type Of The Provider Nurse Practitioner
Medicare Participation Indicator Y
Number Of HCPCS 17
Number Of Services 3094
Number Of Medicare Beneficiaries 402
Total Submitted Charge Amount 494947
Total Medicare Allowed Amount 357160.41
Total Medicare Payment Amount 277063.35
Total Medicare Standardized Payment Amount 295053.39
Drug Suppress Indicator
Number Of HCPCS Associated With Drug Services 4
Number Of Drug Services 84
Number Of Medicare Beneficiaries With Drug Services 62
Total Drug Submitted ChargeAmount 2235
Total Drug Medicare AllowedAmount 989.85
Total Drug Medicare PaymentAmount 955.67
Total Drug Medicare Standardized Payment Amount 955.67
Medical SuppressIndicator
Number Of HCPCS Associated With MedicalServices 13
Number Of Medical Services 3010
Number Of Medicare Beneficiaries With Medical Services 402
Total Medical Submitted Charge Amount 492712
Total Medical Medicare Allowed Amount 356170.56
Total Medical Medicare Payment Amount 276107.68
Total Medical Medicare Standardized Payment Amount 294097.72
Average Age Of Beneficiaries 83
Number Of Beneficiaries Age Less65 29
Number Of Beneficiaries Age 65 to 74 55
Number Of Beneficiaries Age 75 to 84 99
Number Of Beneficiaries Age Greater 84 219
Number Of Female Beneficiaries 306
Number Of Male Beneficiaries 96
Number Of Non Hispanic White Beneficiaries 363
Number Of Black or African American Beneficiaries
Number Of AsianPacific Islander Beneficiaries
Number Of Hispanic Beneficiaries 25
Number Of American Indian Alaska Native Beneficiaries 0
Number Of Beneficiaries With Race Not Else where Classified
Number Of Beneficiaries With Medicare Only Entitlement 205
Number Of Beneficiaries With Medicare Medicaid Entitlement 197
Percent Of With Atrial Fibrillation 24
Percent Of With Alzheimers Disease or Dementia 73
Percent Of With Asthma 5
Percent Of With Cancer 11
Percent Of With Heart Failure 48
Percent Of With Chronic Kidney Disease 35
Percent Of With Chronic Obstructive Pulmonary Disease 20
Percent Of With Depression 37
Percent Of With Diabetes 64
Percent Of With Hyperlipidemia 75
Percent Of With Hypertension 75
Percent Of With Ischemic Heart Disease 70
Percent Of With Osteoporosis 15
Percent Of With Rheumatoid Arthritis Osteoarthritis 73
Percent Of With Schizophrenia Other PsychoticDisorders 12
Percent Of With Stroke 17
Average HCC Risk Score Of Beneficiaries 2.3099

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