Medicare Facts for Stephanie Roberts, PA


National Provider Identifier [NPI]: 1144393257
Last Name Of The Provider ROBERTS
First Name Of The Provider STEPHANIE
Middle Initial Of The Provider
Credentials Of The Provider PA
Gender Of The Provider F
Entity Type Of The Provider I
Street Address 1 Of The Provider 113 S APPLE ST
Street Address 2 Of The Provider
City Of The Provider SHOSHONE
Zip Code Of The Provider 833525287
State Code Of The Provider ID
Country Code Of The Provider US
Provider Type Of The Provider Physician Assistant
Medicare Participation Indicator Y
Number Of HCPCS 14
Number Of Services 126
Number Of Medicare Beneficiaries 67
Total Submitted Charge Amount 3407.5
Total Medicare Allowed Amount 1568.25
Total Medicare Payment Amount 1215.6
Total Medicare Standardized Payment Amount 1476.68
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 14
Number Of Medical Services 126
Number Of Medicare Beneficiaries With Medical Services 67
Total Medical Submitted Charge Amount 3407.5
Total Medical Medicare Allowed Amount 1568.25
Total Medical Medicare Payment Amount 1215.6
Total Medical Medicare Standardized Payment Amount 1476.68
Average Age Of Beneficiaries 72
Number Of Beneficiaries Age Less65 12
Number Of Beneficiaries Age 65 to 74 26
Number Of Beneficiaries Age 75 to 84 18
Number Of Beneficiaries Age Greater 84 11
Number Of Female Beneficiaries 42
Number Of Male Beneficiaries 25
Number Of Non Hispanic White Beneficiaries
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 56
Number Of Beneficiaries With Medicare Medicaid Entitlement 11
Percent Of With Atrial Fibrillation
Percent Of With Alzheimers Disease or Dementia
Percent Of With Asthma
Percent Of With Cancer
Percent Of With Heart Failure
Percent Of With Chronic Kidney Disease
Percent Of With Chronic Obstructive Pulmonary Disease
Percent Of With Depression 24
Percent Of With Diabetes 49
Percent Of With Hyperlipidemia 49
Percent Of With Hypertension 63
Percent Of With Ischemic Heart Disease 21
Percent Of With Osteoporosis
Percent Of With Rheumatoid Arthritis Osteoarthritis 25
Percent Of With Schizophrenia Other PsychoticDisorders 0
Percent Of With Stroke
Average HCC Risk Score Of Beneficiaries 1.0064

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