Medicare Facts for Nikki L. Antoszewski, PA-C


National Provider Identifier [NPI]: 1649555350
Last Name Of The Provider ANTOSZEWSKI
First Name Of The Provider NIKKI
Middle Initial Of The Provider L
Credentials Of The Provider PA-C
Gender Of The Provider F
Entity Type Of The Provider I
Street Address 1 Of The Provider 9100 BABCOCK BLVD
Street Address 2 Of The Provider UPMC PASSAVANT HOSPITAL
City Of The Provider PITTSBURGH
Zip Code Of The Provider 15237
State Code Of The Provider PA
Country Code Of The Provider US
Provider Type Of The Provider Physician Assistant
Medicare Participation Indicator Y
Number Of HCPCS 13
Number Of Services 139
Number Of Medicare Beneficiaries 127
Total Submitted Charge Amount 39977
Total Medicare Allowed Amount 11460.41
Total Medicare Payment Amount 8262.77
Total Medicare Standardized Payment Amount 9971.71
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 62
Number Of Beneficiaries Age Less65 64
Number Of Beneficiaries Age 65 to 74 26
Number Of Beneficiaries Age 75 to 84 19
Number Of Beneficiaries Age Greater 84 18
Number Of Female Beneficiaries 80
Number Of Male Beneficiaries 47
Number Of Non Hispanic White Beneficiaries 110
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 66
Number Of Beneficiaries With Medicare Medicaid Entitlement 61
Percent Of With Atrial Fibrillation 10
Percent Of With Alzheimers Disease or Dementia
Percent Of With Asthma 14
Percent Of With Cancer 9
Percent Of With Heart Failure 12
Percent Of With Chronic Kidney Disease 19
Percent Of With Chronic Obstructive Pulmonary Disease 17
Percent Of With Depression 38
Percent Of With Diabetes 24
Percent Of With Hyperlipidemia 39
Percent Of With Hypertension 57
Percent Of With Ischemic Heart Disease 24
Percent Of With Osteoporosis 12
Percent Of With Rheumatoid Arthritis Osteoarthritis 50
Percent Of With Schizophrenia Other PsychoticDisorders
Percent Of With Stroke
Average HCC Risk Score Of Beneficiaries 1.2584

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