Medicare Facts for Nancy A. Krueger


National Provider Identifier [NPI]: 1144248436
Last Name Of The Provider KRUEGER
First Name Of The Provider NANCY
Middle Initial Of The Provider A
Credentials Of The Provider PT
Gender Of The Provider F
Entity Type Of The Provider I
Street Address 1 Of The Provider 590 S MAGNOLIA AVE
Street Address 2 Of The Provider
City Of The Provider EL CAJON
Zip Code Of The Provider 920206011
State Code Of The Provider CA
Country Code Of The Provider US
Provider Type Of The Provider Physical Therapist
Medicare Participation Indicator Y
Number Of HCPCS 11
Number Of Services 7628
Number Of Medicare Beneficiaries 145
Total Submitted Charge Amount 280086
Total Medicare Allowed Amount 187536.44
Total Medicare Payment Amount 144641.91
Total Medicare Standardized Payment Amount 86440.21
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 11
Number Of Medical Services 7628
Number Of Medicare Beneficiaries With Medical Services 145
Total Medical Submitted Charge Amount 280086
Total Medical Medicare Allowed Amount 187536.44
Total Medical Medicare Payment Amount 144641.91
Total Medical Medicare Standardized Payment Amount 86440.21
Average Age Of Beneficiaries 72
Number Of Beneficiaries Age Less65 19
Number Of Beneficiaries Age 65 to 74 78
Number Of Beneficiaries Age 75 to 84 31
Number Of Beneficiaries Age Greater 84 17
Number Of Female Beneficiaries 94
Number Of Male Beneficiaries 51
Number Of Non Hispanic White Beneficiaries 117
Number Of Black or African American Beneficiaries
Number Of AsianPacific Islander Beneficiaries
Number Of Hispanic Beneficiaries 13
Number Of American Indian Alaska Native Beneficiaries
Number Of Beneficiaries With Race Not Else where Classified
Number Of Beneficiaries With Medicare Only Entitlement 87
Number Of Beneficiaries With Medicare Medicaid Entitlement 58
Percent Of With Atrial Fibrillation 8
Percent Of With Alzheimers Disease or Dementia
Percent Of With Asthma 8
Percent Of With Cancer
Percent Of With Heart Failure 17
Percent Of With Chronic Kidney Disease 14
Percent Of With Chronic Obstructive Pulmonary Disease 12
Percent Of With Depression 23
Percent Of With Diabetes 32
Percent Of With Hyperlipidemia 50
Percent Of With Hypertension 63
Percent Of With Ischemic Heart Disease 30
Percent Of With Osteoporosis 9
Percent Of With Rheumatoid Arthritis Osteoarthritis 67
Percent Of With Schizophrenia Other PsychoticDisorders
Percent Of With Stroke
Average HCC Risk Score Of Beneficiaries 1.1676

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