Medicare Facts for Tracy L. Shultz, FNP


National Provider Identifier [NPI]: 1679562235
Last Name Of The Provider SHULTZ
First Name Of The Provider TRACY
Middle Initial Of The Provider L
Credentials Of The Provider FNP
Gender Of The Provider F
Entity Type Of The Provider I
Street Address 1 Of The Provider 9340 SW BARNES RD
Street Address 2 Of The Provider 202
City Of The Provider PORTLAND
Zip Code Of The Provider 972256623
State Code Of The Provider OR
Country Code Of The Provider US
Provider Type Of The Provider Nurse Practitioner
Medicare Participation Indicator Y
Number Of HCPCS 15
Number Of Services 182
Number Of Medicare Beneficiaries 162
Total Submitted Charge Amount 75243
Total Medicare Allowed Amount 11393.09
Total Medicare Payment Amount 7352.7
Total Medicare Standardized Payment Amount 9135.66
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 15
Number Of Medical Services 182
Number Of Medicare Beneficiaries With Medical Services 162
Total Medical Submitted Charge Amount 75243
Total Medical Medicare Allowed Amount 11393.09
Total Medical Medicare Payment Amount 7352.7
Total Medical Medicare Standardized Payment Amount 9135.66
Average Age Of Beneficiaries 63
Number Of Beneficiaries Age Less65 72
Number Of Beneficiaries Age 65 to 74 41
Number Of Beneficiaries Age 75 to 84 30
Number Of Beneficiaries Age Greater 84 19
Number Of Female Beneficiaries 95
Number Of Male Beneficiaries 67
Number Of Non Hispanic White Beneficiaries 137
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 0
Number Of Beneficiaries With Medicare Only Entitlement 89
Number Of Beneficiaries With Medicare Medicaid Entitlement 73
Percent Of With Atrial Fibrillation 12
Percent Of With Alzheimers Disease or Dementia 10
Percent Of With Asthma 10
Percent Of With Cancer
Percent Of With Heart Failure 13
Percent Of With Chronic Kidney Disease 21
Percent Of With Chronic Obstructive Pulmonary Disease 12
Percent Of With Depression 32
Percent Of With Diabetes 21
Percent Of With Hyperlipidemia 36
Percent Of With Hypertension 54
Percent Of With Ischemic Heart Disease 20
Percent Of With Osteoporosis
Percent Of With Rheumatoid Arthritis Osteoarthritis 30
Percent Of With Schizophrenia Other PsychoticDisorders 10
Percent Of With Stroke
Average HCC Risk Score Of Beneficiaries 1.2422

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