Medicare Facts for Susan E. Branham, RNFA


National Provider Identifier [NPI]: 1154574747
Last Name Of The Provider BRANHAM
First Name Of The Provider SUSAN
Middle Initial Of The Provider L
Credentials Of The Provider RN, ANP-BC, PMHNP-BC
Gender Of The Provider F
Entity Type Of The Provider I
Street Address 1 Of The Provider 2701 US HIGHWAY 271 N
Street Address 2 Of The Provider
City Of The Provider PITTSBURG
Zip Code Of The Provider 756864289
State Code Of The Provider TX
Country Code Of The Provider US
Provider Type Of The Provider Nurse Practitioner
Medicare Participation Indicator Y
Number Of HCPCS 9
Number Of Services 600
Number Of Medicare Beneficiaries 207
Total Submitted Charge Amount 74118
Total Medicare Allowed Amount 39620.66
Total Medicare Payment Amount 28739.93
Total Medicare Standardized Payment Amount 36505.68
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 9
Number Of Medical Services 600
Number Of Medicare Beneficiaries With Medical Services 207
Total Medical Submitted Charge Amount 74118
Total Medical Medicare Allowed Amount 39620.66
Total Medical Medicare Payment Amount 28739.93
Total Medical Medicare Standardized Payment Amount 36505.68
Average Age Of Beneficiaries 53
Number Of Beneficiaries Age Less65 162
Number Of Beneficiaries Age 65 to 74 31
Number Of Beneficiaries Age 75 to 84
Number Of Beneficiaries Age Greater 84
Number Of Female Beneficiaries 123
Number Of Male Beneficiaries 84
Number Of Non Hispanic White Beneficiaries 148
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 74
Number Of Beneficiaries With Medicare Medicaid Entitlement 133
Percent Of With Atrial Fibrillation
Percent Of With Alzheimers Disease or Dementia 9
Percent Of With Asthma 11
Percent Of With Cancer
Percent Of With Heart Failure 12
Percent Of With Chronic Kidney Disease 11
Percent Of With Chronic Obstructive Pulmonary Disease 18
Percent Of With Depression 69
Percent Of With Diabetes 30
Percent Of With Hyperlipidemia 39
Percent Of With Hypertension 55
Percent Of With Ischemic Heart Disease 20
Percent Of With Osteoporosis
Percent Of With Rheumatoid Arthritis Osteoarthritis 41
Percent Of With Schizophrenia Other PsychoticDisorders 36
Percent Of With Stroke
Average HCC Risk Score Of Beneficiaries 1.175

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