Medicare Facts for Rosemarie M. Neilson


National Provider Identifier [NPI]: 1093884389
Last Name Of The Provider NEILSON
First Name Of The Provider ROSEMARIE
Middle Initial Of The Provider M
Credentials Of The Provider LCSW AC
Gender Of The Provider F
Entity Type Of The Provider I
Street Address 1 Of The Provider 326 WASHINGTON ST
Street Address 2 Of The Provider WILLIAM W BACKUS HOSPITAL
City Of The Provider NORWICH
Zip Code Of The Provider 06360
State Code Of The Provider CT
Country Code Of The Provider US
Provider Type Of The Provider Licensed Clinical Social Worker
Medicare Participation Indicator Y
Number Of HCPCS 4
Number Of Services 598
Number Of Medicare Beneficiaries 95
Total Submitted Charge Amount 147567.55
Total Medicare Allowed Amount 39392.11
Total Medicare Payment Amount 29591.52
Total Medicare Standardized Payment Amount 28365.9
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 4
Number Of Medical Services 598
Number Of Medicare Beneficiaries With Medical Services 95
Total Medical Submitted Charge Amount 147567.55
Total Medical Medicare Allowed Amount 39392.11
Total Medical Medicare Payment Amount 29591.52
Total Medical Medicare Standardized Payment Amount 28365.9
Average Age Of Beneficiaries 55
Number Of Beneficiaries Age Less65 72
Number Of Beneficiaries Age 65 to 74
Number Of Beneficiaries Age 75 to 84
Number Of Beneficiaries Age Greater 84
Number Of Female Beneficiaries 80
Number Of Male Beneficiaries 15
Number Of Non Hispanic White Beneficiaries 84
Number Of Black or African American Beneficiaries
Number Of AsianPacific Islander Beneficiaries 0
Number Of Hispanic Beneficiaries
Number Of American Indian Alaska Native Beneficiaries 0
Number Of Beneficiaries With Race Not Else where Classified
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 28
Percent Of With Cancer
Percent Of With Heart Failure 15
Percent Of With Chronic Kidney Disease 17
Percent Of With Chronic Obstructive Pulmonary Disease 29
Percent Of With Depression 75
Percent Of With Diabetes 26
Percent Of With Hyperlipidemia 48
Percent Of With Hypertension 52
Percent Of With Ischemic Heart Disease 20
Percent Of With Osteoporosis
Percent Of With Rheumatoid Arthritis Osteoarthritis 42
Percent Of With Schizophrenia Other PsychoticDisorders 29
Percent Of With Stroke
Average HCC Risk Score Of Beneficiaries 1.5091

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