Medicare Facts for Theresa P. Vergo, PA-C


National Provider Identifier [NPI]: 1003183955
Last Name Of The Provider VERGO
First Name Of The Provider THERESA
Middle Initial Of The Provider P
Credentials Of The Provider PA-C
Gender Of The Provider F
Entity Type Of The Provider I
Street Address 1 Of The Provider 681 4TH AVE N
Street Address 2 Of The Provider
City Of The Provider NAPLES
Zip Code Of The Provider 341025729
State Code Of The Provider FL
Country Code Of The Provider US
Provider Type Of The Provider Physician Assistant
Medicare Participation Indicator Y
Number Of HCPCS 7
Number Of Services 849
Number Of Medicare Beneficiaries 405
Total Submitted Charge Amount 158339
Total Medicare Allowed Amount 59059.52
Total Medicare Payment Amount 46163.46
Total Medicare Standardized Payment Amount 52023.33
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 7
Number Of Medical Services 849
Number Of Medicare Beneficiaries With Medical Services 405
Total Medical Submitted Charge Amount 158339
Total Medical Medicare Allowed Amount 59059.52
Total Medical Medicare Payment Amount 46163.46
Total Medical Medicare Standardized Payment Amount 52023.33
Average Age Of Beneficiaries 76
Number Of Beneficiaries Age Less65 37
Number Of Beneficiaries Age 65 to 74 134
Number Of Beneficiaries Age 75 to 84 167
Number Of Beneficiaries Age Greater 84 67
Number Of Female Beneficiaries 182
Number Of Male Beneficiaries 223
Number Of Non Hispanic White Beneficiaries 359
Number Of Black or African American Beneficiaries
Number Of AsianPacific Islander Beneficiaries
Number Of Hispanic Beneficiaries 22
Number Of American Indian Alaska Native Beneficiaries
Number Of Beneficiaries With Race Not Else where Classified
Number Of Beneficiaries With Medicare Only Entitlement 349
Number Of Beneficiaries With Medicare Medicaid Entitlement 56
Percent Of With Atrial Fibrillation 27
Percent Of With Alzheimers Disease or Dementia 18
Percent Of With Asthma 10
Percent Of With Cancer 44
Percent Of With Heart Failure 42
Percent Of With Chronic Kidney Disease 67
Percent Of With Chronic Obstructive Pulmonary Disease 36
Percent Of With Depression 32
Percent Of With Diabetes 37
Percent Of With Hyperlipidemia 68
Percent Of With Hypertension 75
Percent Of With Ischemic Heart Disease 64
Percent Of With Osteoporosis 13
Percent Of With Rheumatoid Arthritis Osteoarthritis 47
Percent Of With Schizophrenia Other PsychoticDisorders 3
Percent Of With Stroke 13
Average HCC Risk Score Of Beneficiaries 2.667

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