Medicare Facts for Lisa A. Travnikar, PA


National Provider Identifier [NPI]: 1871929257
Last Name Of The Provider TRAVNIKAR
First Name Of The Provider LISA
Middle Initial Of The Provider A
Credentials Of The Provider PA
Gender Of The Provider F
Entity Type Of The Provider I
Street Address 1 Of The Provider 750 STEPHENSON HWY
Street Address 2 Of The Provider BEAUMONT PAYOR CONTRACT SERVICES
City Of The Provider TROY
Zip Code Of The Provider 480831103
State Code Of The Provider MI
Country Code Of The Provider US
Provider Type Of The Provider Physician Assistant
Medicare Participation Indicator Y
Number Of HCPCS 9
Number Of Services 53
Number Of Medicare Beneficiaries 47
Total Submitted Charge Amount 10656
Total Medicare Allowed Amount 4846.48
Total Medicare Payment Amount 3799.73
Total Medicare Standardized Payment Amount 4291.71
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 9
Number Of Medical Services 53
Number Of Medicare Beneficiaries With Medical Services 47
Total Medical Submitted Charge Amount 10656
Total Medical Medicare Allowed Amount 4846.48
Total Medical Medicare Payment Amount 3799.73
Total Medical Medicare Standardized Payment Amount 4291.71
Average Age Of Beneficiaries 82
Number Of Beneficiaries Age Less65
Number Of Beneficiaries Age 65 to 74
Number Of Beneficiaries Age 75 to 84 14
Number Of Beneficiaries Age Greater 84 20
Number Of Female Beneficiaries 25
Number Of Male Beneficiaries 22
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 36
Percent Of With Alzheimers Disease or Dementia 43
Percent Of With Asthma
Percent Of With Cancer
Percent Of With Heart Failure 53
Percent Of With Chronic Kidney Disease 49
Percent Of With Chronic Obstructive Pulmonary Disease 28
Percent Of With Depression 45
Percent Of With Diabetes 40
Percent Of With Hyperlipidemia 68
Percent Of With Hypertension 75
Percent Of With Ischemic Heart Disease 72
Percent Of With Osteoporosis 26
Percent Of With Rheumatoid Arthritis Osteoarthritis 53
Percent Of With Schizophrenia Other PsychoticDisorders
Percent Of With Stroke
Average HCC Risk Score Of Beneficiaries 2.4966

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