Medicare Facts for Phyllis D. Boone, NP


National Provider Identifier [NPI]: 1477838845
Last Name Of The Provider BOONE
First Name Of The Provider PHYLLIS
Middle Initial Of The Provider D
Credentials Of The Provider N.P.
Gender Of The Provider F
Entity Type Of The Provider I
Street Address 1 Of The Provider 3600 E FULTON
Street Address 2 Of The Provider
City Of The Provider GRAND RAPIDS
Zip Code Of The Provider 495461322
State Code Of The Provider MI
Country Code Of The Provider US
Provider Type Of The Provider Nurse Practitioner
Medicare Participation Indicator Y
Number Of HCPCS 17
Number Of Services 167
Number Of Medicare Beneficiaries 70
Total Submitted Charge Amount 22074
Total Medicare Allowed Amount 13319.99
Total Medicare Payment Amount 8233.68
Total Medicare Standardized Payment Amount 10841.53
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 17
Number Of Medical Services 167
Number Of Medicare Beneficiaries With Medical Services 70
Total Medical Submitted Charge Amount 22074
Total Medical Medicare Allowed Amount 13319.99
Total Medical Medicare Payment Amount 8233.68
Total Medical Medicare Standardized Payment Amount 10841.53
Average Age Of Beneficiaries 90
Number Of Beneficiaries Age Less65 0
Number Of Beneficiaries Age 65 to 74 0
Number Of Beneficiaries Age 75 to 84 12
Number Of Beneficiaries Age Greater 84 58
Number Of Female Beneficiaries 54
Number Of Male Beneficiaries 16
Number Of Non Hispanic White Beneficiaries 70
Number Of Black or African American Beneficiaries 0
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 21
Percent Of With Alzheimers Disease or Dementia 53
Percent Of With Asthma
Percent Of With Cancer
Percent Of With Heart Failure 56
Percent Of With Chronic Kidney Disease 33
Percent Of With Chronic Obstructive Pulmonary Disease
Percent Of With Depression 40
Percent Of With Diabetes 19
Percent Of With Hyperlipidemia 33
Percent Of With Hypertension 75
Percent Of With Ischemic Heart Disease 26
Percent Of With Osteoporosis 20
Percent Of With Rheumatoid Arthritis Osteoarthritis 69
Percent Of With Schizophrenia Other PsychoticDisorders 20
Percent Of With Stroke
Average HCC Risk Score Of Beneficiaries 1.5722

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