Medicare Facts for Teresa R. Carroll, APN


National Provider Identifier [NPI]: 1619042520
Last Name Of The Provider CARROLL
First Name Of The Provider TERESA
Middle Initial Of The Provider L
Credentials Of The Provider CRNA
Gender Of The Provider F
Entity Type Of The Provider I
Street Address 1 Of The Provider 2250 DREW ST
Street Address 2 Of The Provider BUILDING 3
City Of The Provider CLEARWATER
Zip Code Of The Provider 33765
State Code Of The Provider FL
Country Code Of The Provider US
Provider Type Of The Provider CRNA
Medicare Participation Indicator Y
Number Of HCPCS 32
Number Of Services 139
Number Of Medicare Beneficiaries 137
Total Submitted Charge Amount 177260
Total Medicare Allowed Amount 30518.89
Total Medicare Payment Amount 23926.72
Total Medicare Standardized Payment Amount 23226.22
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 32
Number Of Medical Services 139
Number Of Medicare Beneficiaries With Medical Services 137
Total Medical Submitted Charge Amount 177260
Total Medical Medicare Allowed Amount 30518.89
Total Medical Medicare Payment Amount 23926.72
Total Medical Medicare Standardized Payment Amount 23226.22
Average Age Of Beneficiaries 72
Number Of Beneficiaries Age Less65 23
Number Of Beneficiaries Age 65 to 74 55
Number Of Beneficiaries Age 75 to 84 41
Number Of Beneficiaries Age Greater 84 18
Number Of Female Beneficiaries 76
Number Of Male Beneficiaries 61
Number Of Non Hispanic White Beneficiaries 112
Number Of Black or African American Beneficiaries 13
Number Of AsianPacific Islander Beneficiaries
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 105
Number Of Beneficiaries With Medicare Medicaid Entitlement 32
Percent Of With Atrial Fibrillation 21
Percent Of With Alzheimers Disease or Dementia 15
Percent Of With Asthma 13
Percent Of With Cancer 15
Percent Of With Heart Failure 28
Percent Of With Chronic Kidney Disease 38
Percent Of With Chronic Obstructive Pulmonary Disease 28
Percent Of With Depression 27
Percent Of With Diabetes 39
Percent Of With Hyperlipidemia 69
Percent Of With Hypertension 75
Percent Of With Ischemic Heart Disease 59
Percent Of With Osteoporosis 9
Percent Of With Rheumatoid Arthritis Osteoarthritis 48
Percent Of With Schizophrenia Other PsychoticDisorders
Percent Of With Stroke 11
Average HCC Risk Score Of Beneficiaries 2.1447

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