Medicare Facts for Samantha S. O'Leary, AUD


National Provider Identifier [NPI]: 1396032496
Last Name Of The Provider O'LEARY
First Name Of The Provider SAMANTHA
Middle Initial Of The Provider S
Credentials Of The Provider AUD.
Gender Of The Provider F
Entity Type Of The Provider I
Street Address 1 Of The Provider 99 WHITE BRIDGE RD
Street Address 2 Of The Provider SUITE 106
City Of The Provider NASHVILLE
Zip Code Of The Provider 372051448
State Code Of The Provider TN
Country Code Of The Provider US
Provider Type Of The Provider Audiologist (billing independently)
Medicare Participation Indicator Y
Number Of HCPCS 17
Number Of Services 546
Number Of Medicare Beneficiaries 226
Total Submitted Charge Amount 54335
Total Medicare Allowed Amount 20286.53
Total Medicare Payment Amount 14994.92
Total Medicare Standardized Payment Amount 15985.39
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 546
Number Of Medicare Beneficiaries With Medical Services 226
Total Medical Submitted Charge Amount 54335
Total Medical Medicare Allowed Amount 20286.53
Total Medical Medicare Payment Amount 14994.92
Total Medical Medicare Standardized Payment Amount 15985.39
Average Age Of Beneficiaries 73
Number Of Beneficiaries Age Less65 19
Number Of Beneficiaries Age 65 to 74 109
Number Of Beneficiaries Age 75 to 84 76
Number Of Beneficiaries Age Greater 84 22
Number Of Female Beneficiaries 132
Number Of Male Beneficiaries 94
Number Of Non Hispanic White Beneficiaries 205
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 210
Number Of Beneficiaries With Medicare Medicaid Entitlement 16
Percent Of With Atrial Fibrillation 7
Percent Of With Alzheimers Disease or Dementia 5
Percent Of With Asthma 9
Percent Of With Cancer 11
Percent Of With Heart Failure 9
Percent Of With Chronic Kidney Disease 27
Percent Of With Chronic Obstructive Pulmonary Disease 15
Percent Of With Depression 17
Percent Of With Diabetes 29
Percent Of With Hyperlipidemia 65
Percent Of With Hypertension 73
Percent Of With Ischemic Heart Disease 34
Percent Of With Osteoporosis
Percent Of With Rheumatoid Arthritis Osteoarthritis 45
Percent Of With Schizophrenia Other PsychoticDisorders
Percent Of With Stroke
Average HCC Risk Score Of Beneficiaries 1.0105

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