Medicare Facts for Maria-Dolores C. Haneffant, PA


National Provider Identifier [NPI]: 1063517761
Last Name Of The Provider HANEFFANT
First Name Of The Provider MARIA-DOLORES
Middle Initial Of The Provider C
Credentials Of The Provider PA
Gender Of The Provider F
Entity Type Of The Provider I
Street Address 1 Of The Provider 3100 DOUGLAS BLVD
Street Address 2 Of The Provider
City Of The Provider ROSEVILLE
Zip Code Of The Provider 956613866
State Code Of The Provider CA
Country Code Of The Provider US
Provider Type Of The Provider Physician Assistant
Medicare Participation Indicator Y
Number Of HCPCS 37
Number Of Services 532
Number Of Medicare Beneficiaries 244
Total Submitted Charge Amount 138864
Total Medicare Allowed Amount 40778.92
Total Medicare Payment Amount 28337.14
Total Medicare Standardized Payment Amount 32472.47
Drug Suppress Indicator
Number Of HCPCS Associated With Drug Services 7
Number Of Drug Services 51
Number Of Medicare Beneficiaries With Drug Services 39
Total Drug Submitted ChargeAmount 2312
Total Drug Medicare AllowedAmount 1641.32
Total Drug Medicare PaymentAmount 1602.99
Total Drug Medicare Standardized Payment Amount 1602.99
Medical SuppressIndicator
Number Of HCPCS Associated With MedicalServices 30
Number Of Medical Services 481
Number Of Medicare Beneficiaries With Medical Services 243
Total Medical Submitted Charge Amount 136552
Total Medical Medicare Allowed Amount 39137.6
Total Medical Medicare Payment Amount 26734.15
Total Medical Medicare Standardized Payment Amount 30869.48
Average Age Of Beneficiaries 67
Number Of Beneficiaries Age Less65 62
Number Of Beneficiaries Age 65 to 74 108
Number Of Beneficiaries Age 75 to 84 50
Number Of Beneficiaries Age Greater 84 24
Number Of Female Beneficiaries 161
Number Of Male Beneficiaries 83
Number Of Non Hispanic White Beneficiaries 197
Number Of Black or African American Beneficiaries
Number Of AsianPacific Islander Beneficiaries 17
Number Of Hispanic Beneficiaries 19
Number Of American Indian Alaska Native Beneficiaries 0
Number Of Beneficiaries With Race Not Else where Classified
Number Of Beneficiaries With Medicare Only Entitlement 184
Number Of Beneficiaries With Medicare Medicaid Entitlement 60
Percent Of With Atrial Fibrillation 10
Percent Of With Alzheimers Disease or Dementia 9
Percent Of With Asthma 11
Percent Of With Cancer 7
Percent Of With Heart Failure 9
Percent Of With Chronic Kidney Disease 22
Percent Of With Chronic Obstructive Pulmonary Disease 13
Percent Of With Depression 28
Percent Of With Diabetes 24
Percent Of With Hyperlipidemia 53
Percent Of With Hypertension 58
Percent Of With Ischemic Heart Disease 23
Percent Of With Osteoporosis 10
Percent Of With Rheumatoid Arthritis Osteoarthritis 32
Percent Of With Schizophrenia Other PsychoticDisorders
Percent Of With Stroke
Average HCC Risk Score Of Beneficiaries 1.1321

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