Medicare Facts for Lisa A. Kuopus, CRNA


National Provider Identifier [NPI]: 1134323942
Last Name Of The Provider KUOPUS
First Name Of The Provider LISA
Middle Initial Of The Provider A
Credentials Of The Provider CRNA
Gender Of The Provider F
Entity Type Of The Provider I
Street Address 1 Of The Provider 580 W COLLEGE AVE
Street Address 2 Of The Provider
City Of The Provider MARQUETTE
Zip Code Of The Provider 498552705
State Code Of The Provider MI
Country Code Of The Provider US
Provider Type Of The Provider CRNA
Medicare Participation Indicator Y
Number Of HCPCS 55
Number Of Services 212
Number Of Medicare Beneficiaries 199
Total Submitted Charge Amount 355100
Total Medicare Allowed Amount 28889.02
Total Medicare Payment Amount 21856.43
Total Medicare Standardized Payment Amount 22206.82
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 55
Number Of Medical Services 212
Number Of Medicare Beneficiaries With Medical Services 199
Total Medical Submitted Charge Amount 355100
Total Medical Medicare Allowed Amount 28889.02
Total Medical Medicare Payment Amount 21856.43
Total Medical Medicare Standardized Payment Amount 22206.82
Average Age Of Beneficiaries 70
Number Of Beneficiaries Age Less65 44
Number Of Beneficiaries Age 65 to 74 76
Number Of Beneficiaries Age 75 to 84 56
Number Of Beneficiaries Age Greater 84 23
Number Of Female Beneficiaries 109
Number Of Male Beneficiaries 90
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 150
Number Of Beneficiaries With Medicare Medicaid Entitlement 49
Percent Of With Atrial Fibrillation 16
Percent Of With Alzheimers Disease or Dementia 13
Percent Of With Asthma 13
Percent Of With Cancer 12
Percent Of With Heart Failure 24
Percent Of With Chronic Kidney Disease 34
Percent Of With Chronic Obstructive Pulmonary Disease 25
Percent Of With Depression 37
Percent Of With Diabetes 30
Percent Of With Hyperlipidemia 58
Percent Of With Hypertension 75
Percent Of With Ischemic Heart Disease 43
Percent Of With Osteoporosis 13
Percent Of With Rheumatoid Arthritis Osteoarthritis 48
Percent Of With Schizophrenia Other PsychoticDisorders 6
Percent Of With Stroke 6
Average HCC Risk Score Of Beneficiaries 1.3577

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