Medicare Facts for Mary C. Bauer, RN


National Provider Identifier [NPI]: 1437147402
Last Name Of The Provider BAUER
First Name Of The Provider MARY
Middle Initial Of The Provider T
Credentials Of The Provider PAC
Gender Of The Provider F
Entity Type Of The Provider I
Street Address 1 Of The Provider 6701 ROCKSIDE RD
Street Address 2 Of The Provider #260
City Of The Provider INDEPENDENCE
Zip Code Of The Provider 441312358
State Code Of The Provider OH
Country Code Of The Provider US
Provider Type Of The Provider Physician Assistant
Medicare Participation Indicator Y
Number Of HCPCS 7
Number Of Services 451
Number Of Medicare Beneficiaries 331
Total Submitted Charge Amount 111326
Total Medicare Allowed Amount 22519.37
Total Medicare Payment Amount 14966.37
Total Medicare Standardized Payment Amount 18556.8
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 7
Number Of Medical Services 451
Number Of Medicare Beneficiaries With Medical Services 331
Total Medical Submitted Charge Amount 111326
Total Medical Medicare Allowed Amount 22519.37
Total Medical Medicare Payment Amount 14966.37
Total Medical Medicare Standardized Payment Amount 18556.8
Average Age Of Beneficiaries 69
Number Of Beneficiaries Age Less65 87
Number Of Beneficiaries Age 65 to 74 120
Number Of Beneficiaries Age 75 to 84 87
Number Of Beneficiaries Age Greater 84 37
Number Of Female Beneficiaries 214
Number Of Male Beneficiaries 117
Number Of Non Hispanic White Beneficiaries 119
Number Of Black or African American Beneficiaries 191
Number Of AsianPacific Islander Beneficiaries
Number Of Hispanic Beneficiaries
Number Of American Indian Alaska Native Beneficiaries 0
Number Of Beneficiaries With Race Not Else where Classified
Number Of Beneficiaries With Medicare Only Entitlement 210
Number Of Beneficiaries With Medicare Medicaid Entitlement 121
Percent Of With Atrial Fibrillation 8
Percent Of With Alzheimers Disease or Dementia 7
Percent Of With Asthma 15
Percent Of With Cancer 11
Percent Of With Heart Failure 16
Percent Of With Chronic Kidney Disease 22
Percent Of With Chronic Obstructive Pulmonary Disease 12
Percent Of With Depression 28
Percent Of With Diabetes 36
Percent Of With Hyperlipidemia 51
Percent Of With Hypertension 70
Percent Of With Ischemic Heart Disease 26
Percent Of With Osteoporosis 10
Percent Of With Rheumatoid Arthritis Osteoarthritis 45
Percent Of With Schizophrenia Other PsychoticDisorders 6
Percent Of With Stroke 4
Average HCC Risk Score Of Beneficiaries 1.398

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