Medicare Facts for Tracy L. Moss, FNP-C


National Provider Identifier [NPI]: 1629221692
Last Name Of The Provider MOSS
First Name Of The Provider TRACY
Middle Initial Of The Provider L
Credentials Of The Provider FNP-C
Gender Of The Provider F
Entity Type Of The Provider I
Street Address 1 Of The Provider 1407 W BADDOUR PKWY
Street Address 2 Of The Provider
City Of The Provider LEBANON
Zip Code Of The Provider 370872513
State Code Of The Provider TN
Country Code Of The Provider US
Provider Type Of The Provider Nurse Practitioner
Medicare Participation Indicator Y
Number Of HCPCS 9
Number Of Services 2220
Number Of Medicare Beneficiaries 350
Total Submitted Charge Amount 308676
Total Medicare Allowed Amount 149238
Total Medicare Payment Amount 107897.37
Total Medicare Standardized Payment Amount 136865.76
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 2220
Number Of Medicare Beneficiaries With Medical Services 350
Total Medical Submitted Charge Amount 308676
Total Medical Medicare Allowed Amount 149238
Total Medical Medicare Payment Amount 107897.37
Total Medical Medicare Standardized Payment Amount 136865.76
Average Age Of Beneficiaries 80
Number Of Beneficiaries Age Less65 30
Number Of Beneficiaries Age 65 to 74 72
Number Of Beneficiaries Age 75 to 84 113
Number Of Beneficiaries Age Greater 84 135
Number Of Female Beneficiaries 235
Number Of Male Beneficiaries 115
Number Of Non Hispanic White Beneficiaries 323
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 131
Number Of Beneficiaries With Medicare Medicaid Entitlement 219
Percent Of With Atrial Fibrillation 24
Percent Of With Alzheimers Disease or Dementia 72
Percent Of With Asthma 4
Percent Of With Cancer 9
Percent Of With Heart Failure 47
Percent Of With Chronic Kidney Disease 55
Percent Of With Chronic Obstructive Pulmonary Disease 37
Percent Of With Depression 48
Percent Of With Diabetes 39
Percent Of With Hyperlipidemia 36
Percent Of With Hypertension 75
Percent Of With Ischemic Heart Disease 57
Percent Of With Osteoporosis 13
Percent Of With Rheumatoid Arthritis Osteoarthritis 47
Percent Of With Schizophrenia Other PsychoticDisorders 32
Percent Of With Stroke 15
Average HCC Risk Score Of Beneficiaries 2.2445

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