Medicare Facts for Tonia L. Lower, NP


National Provider Identifier [NPI]: 1659514073
Last Name Of The Provider LOWER
First Name Of The Provider TONIA
Middle Initial Of The Provider L
Credentials Of The Provider NP-C
Gender Of The Provider F
Entity Type Of The Provider I
Street Address 1 Of The Provider 262 W MAIN ST
Street Address 2 Of The Provider
City Of The Provider AMELIA
Zip Code Of The Provider 451021309
State Code Of The Provider OH
Country Code Of The Provider US
Provider Type Of The Provider Nurse Practitioner
Medicare Participation Indicator Y
Number Of HCPCS 50
Number Of Services 318
Number Of Medicare Beneficiaries 171
Total Submitted Charge Amount 29582
Total Medicare Allowed Amount 16962.71
Total Medicare Payment Amount 11096.17
Total Medicare Standardized Payment Amount 14037.18
Drug Suppress Indicator
Number Of HCPCS Associated With Drug Services 7
Number Of Drug Services 37
Number Of Medicare Beneficiaries With Drug Services 13
Total Drug Submitted ChargeAmount 223
Total Drug Medicare AllowedAmount 105.56
Total Drug Medicare PaymentAmount 80.8
Total Drug Medicare Standardized Payment Amount 80.8
Medical SuppressIndicator
Number Of HCPCS Associated With MedicalServices 43
Number Of Medical Services 281
Number Of Medicare Beneficiaries With Medical Services 171
Total Medical Submitted Charge Amount 29359
Total Medical Medicare Allowed Amount 16857.15
Total Medical Medicare Payment Amount 11015.37
Total Medical Medicare Standardized Payment Amount 13956.38
Average Age Of Beneficiaries 68
Number Of Beneficiaries Age Less65 43
Number Of Beneficiaries Age 65 to 74 71
Number Of Beneficiaries Age 75 to 84 38
Number Of Beneficiaries Age Greater 84 19
Number Of Female Beneficiaries 110
Number Of Male Beneficiaries 61
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 141
Number Of Beneficiaries With Medicare Medicaid Entitlement 30
Percent Of With Atrial Fibrillation 9
Percent Of With Alzheimers Disease or Dementia
Percent Of With Asthma 14
Percent Of With Cancer 10
Percent Of With Heart Failure 17
Percent Of With Chronic Kidney Disease 16
Percent Of With Chronic Obstructive Pulmonary Disease 17
Percent Of With Depression 26
Percent Of With Diabetes 25
Percent Of With Hyperlipidemia 53
Percent Of With Hypertension 61
Percent Of With Ischemic Heart Disease 30
Percent Of With Osteoporosis 6
Percent Of With Rheumatoid Arthritis Osteoarthritis 41
Percent Of With Schizophrenia Other PsychoticDisorders
Percent Of With Stroke
Average HCC Risk Score Of Beneficiaries 0.9305

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