Medicare Facts for Melanie L. Boles, CRNP


National Provider Identifier [NPI]: 1255510657
Last Name Of The Provider BOLES
First Name Of The Provider MELANIE
Middle Initial Of The Provider L
Credentials Of The Provider CRNP
Gender Of The Provider F
Entity Type Of The Provider I
Street Address 1 Of The Provider 4145 CARMICHAEL RD
Street Address 2 Of The Provider
City Of The Provider MONTGOMERY
Zip Code Of The Provider 361062803
State Code Of The Provider AL
Country Code Of The Provider US
Provider Type Of The Provider Nurse Practitioner
Medicare Participation Indicator Y
Number Of HCPCS 20
Number Of Services 215
Number Of Medicare Beneficiaries 39
Total Submitted Charge Amount 9182.14
Total Medicare Allowed Amount 5349.42
Total Medicare Payment Amount 3698.53
Total Medicare Standardized Payment Amount 5322.43
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 20
Number Of Medical Services 215
Number Of Medicare Beneficiaries With Medical Services 39
Total Medical Submitted Charge Amount 9182.14
Total Medical Medicare Allowed Amount 5349.42
Total Medical Medicare Payment Amount 3698.53
Total Medical Medicare Standardized Payment Amount 5322.43
Average Age Of Beneficiaries 70
Number Of Beneficiaries Age Less65
Number Of Beneficiaries Age 65 to 74 23
Number Of Beneficiaries Age 75 to 84
Number Of Beneficiaries Age Greater 84
Number Of Female Beneficiaries 22
Number Of Male Beneficiaries 17
Number Of Non Hispanic White Beneficiaries 25
Number Of Black or African American Beneficiaries 14
Number Of AsianPacific Islander Beneficiaries 0
Number Of Hispanic Beneficiaries 0
Number Of American Indian Alaska Native Beneficiaries 0
Number Of Beneficiaries With Race Not Else where Classified 0
Number Of Beneficiaries With Medicare Only Entitlement
Number Of Beneficiaries With Medicare Medicaid Entitlement
Percent Of With Atrial Fibrillation
Percent Of With Alzheimers Disease or Dementia
Percent Of With Asthma
Percent Of With Cancer
Percent Of With Heart Failure
Percent Of With Chronic Kidney Disease 36
Percent Of With Chronic Obstructive Pulmonary Disease
Percent Of With Depression
Percent Of With Diabetes 36
Percent Of With Hyperlipidemia 36
Percent Of With Hypertension 67
Percent Of With Ischemic Heart Disease
Percent Of With Osteoporosis 0
Percent Of With Rheumatoid Arthritis Osteoarthritis 38
Percent Of With Schizophrenia Other PsychoticDisorders 0
Percent Of With Stroke
Average HCC Risk Score Of Beneficiaries 1.6532

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