Medicare Facts for Mary A. Dameron, FNP-BC


National Provider Identifier [NPI]: 1467426254
Last Name Of The Provider DAMERON
First Name Of The Provider MARY
Middle Initial Of The Provider A
Credentials Of The Provider FNP-BC
Gender Of The Provider F
Entity Type Of The Provider I
Street Address 1 Of The Provider 300 BALLENGER CENTER DR
Street Address 2 Of The Provider CVS MINUTE CLINIC
City Of The Provider FREDERICK
Zip Code Of The Provider 21703
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 19
Number Of Services 2645
Number Of Medicare Beneficiaries 756
Total Submitted Charge Amount 319929.9
Total Medicare Allowed Amount 190687.44
Total Medicare Payment Amount 136770.33
Total Medicare Standardized Payment Amount 165677.99
Drug Suppress Indicator *
Number Of HCPCS Associated With Drug Services
Number Of Drug Services
Number Of Medicare Beneficiaries With Drug Services
Total Drug Submitted ChargeAmount
Total Drug Medicare AllowedAmount
Total Drug Medicare PaymentAmount
Total Drug Medicare Standardized Payment Amount
Medical SuppressIndicator #
Number Of HCPCS Associated With MedicalServices
Number Of Medical Services
Number Of Medicare Beneficiaries With Medical Services
Total Medical Submitted Charge Amount
Total Medical Medicare Allowed Amount
Total Medical Medicare Payment Amount
Total Medical Medicare Standardized Payment Amount
Average Age Of Beneficiaries 79
Number Of Beneficiaries Age Less65 78
Number Of Beneficiaries Age 65 to 74 147
Number Of Beneficiaries Age 75 to 84 243
Number Of Beneficiaries Age Greater 84 288
Number Of Female Beneficiaries 526
Number Of Male Beneficiaries 230
Number Of Non Hispanic White Beneficiaries 727
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 188
Number Of Beneficiaries With Medicare Medicaid Entitlement 568
Percent Of With Atrial Fibrillation 17
Percent Of With Alzheimers Disease or Dementia 75
Percent Of With Asthma 6
Percent Of With Cancer 8
Percent Of With Heart Failure 47
Percent Of With Chronic Kidney Disease 47
Percent Of With Chronic Obstructive Pulmonary Disease 30
Percent Of With Depression 62
Percent Of With Diabetes 46
Percent Of With Hyperlipidemia 46
Percent Of With Hypertension 75
Percent Of With Ischemic Heart Disease 50
Percent Of With Osteoporosis 14
Percent Of With Rheumatoid Arthritis Osteoarthritis 57
Percent Of With Schizophrenia Other PsychoticDisorders 35
Percent Of With Stroke 15
Average HCC Risk Score Of Beneficiaries 2.1732

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