Medicare Facts for Nicole J. Dufrechou, PA-C


National Provider Identifier [NPI]: 1720123078
Last Name Of The Provider DUFRECHOU
First Name Of The Provider NICOLE
Middle Initial Of The Provider J
Credentials Of The Provider PA-C
Gender Of The Provider F
Entity Type Of The Provider I
Street Address 1 Of The Provider 4850 GRANDE DR
Street Address 2 Of The Provider
City Of The Provider PENSACOLA
Zip Code Of The Provider 325045940
State Code Of The Provider FL
Country Code Of The Provider US
Provider Type Of The Provider Physician Assistant
Medicare Participation Indicator Y
Number Of HCPCS 40
Number Of Services 1381
Number Of Medicare Beneficiaries 417
Total Submitted Charge Amount 232355.75
Total Medicare Allowed Amount 73922.28
Total Medicare Payment Amount 49521.99
Total Medicare Standardized Payment Amount 60206.49
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 40
Number Of Medical Services 1381
Number Of Medicare Beneficiaries With Medical Services 417
Total Medical Submitted Charge Amount 232355.75
Total Medical Medicare Allowed Amount 73922.28
Total Medical Medicare Payment Amount 49521.99
Total Medical Medicare Standardized Payment Amount 60206.49
Average Age Of Beneficiaries 71
Number Of Beneficiaries Age Less65 44
Number Of Beneficiaries Age 65 to 74 240
Number Of Beneficiaries Age 75 to 84 94
Number Of Beneficiaries Age Greater 84 39
Number Of Female Beneficiaries 251
Number Of Male Beneficiaries 166
Number Of Non Hispanic White Beneficiaries 384
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 400
Number Of Beneficiaries With Medicare Medicaid Entitlement 17
Percent Of With Atrial Fibrillation 7
Percent Of With Alzheimers Disease or Dementia 6
Percent Of With Asthma 6
Percent Of With Cancer 8
Percent Of With Heart Failure 8
Percent Of With Chronic Kidney Disease 17
Percent Of With Chronic Obstructive Pulmonary Disease 10
Percent Of With Depression 20
Percent Of With Diabetes 25
Percent Of With Hyperlipidemia 59
Percent Of With Hypertension 65
Percent Of With Ischemic Heart Disease 28
Percent Of With Osteoporosis 10
Percent Of With Rheumatoid Arthritis Osteoarthritis 43
Percent Of With Schizophrenia Other PsychoticDisorders
Percent Of With Stroke 3
Average HCC Risk Score Of Beneficiaries 0.9615

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