Medicare Facts for Tracy M. Brunette, NP


National Provider Identifier [NPI]: 1912201740
Last Name Of The Provider BRUNETTE
First Name Of The Provider TRACY
Middle Initial Of The Provider M
Credentials Of The Provider NP
Gender Of The Provider F
Entity Type Of The Provider I
Street Address 1 Of The Provider 2435 NE CUMULUS AVE
Street Address 2 Of The Provider SUITE A
City Of The Provider MCMINNVILLE
Zip Code Of The Provider 971288805
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 6
Number Of Services 67
Number Of Medicare Beneficiaries 59
Total Submitted Charge Amount 15524
Total Medicare Allowed Amount 5678.54
Total Medicare Payment Amount 2563.66
Total Medicare Standardized Payment Amount 3695.56
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 6
Number Of Medical Services 67
Number Of Medicare Beneficiaries With Medical Services 59
Total Medical Submitted Charge Amount 15524
Total Medical Medicare Allowed Amount 5678.54
Total Medical Medicare Payment Amount 2563.66
Total Medical Medicare Standardized Payment Amount 3695.56
Average Age Of Beneficiaries 74
Number Of Beneficiaries Age Less65
Number Of Beneficiaries Age 65 to 74 19
Number Of Beneficiaries Age 75 to 84
Number Of Beneficiaries Age Greater 84 17
Number Of Female Beneficiaries 37
Number Of Male Beneficiaries 22
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 44
Number Of Beneficiaries With Medicare Medicaid Entitlement 15
Percent Of With Atrial Fibrillation 19
Percent Of With Alzheimers Disease or Dementia 19
Percent Of With Asthma
Percent Of With Cancer
Percent Of With Heart Failure 27
Percent Of With Chronic Kidney Disease
Percent Of With Chronic Obstructive Pulmonary Disease
Percent Of With Depression 29
Percent Of With Diabetes 22
Percent Of With Hyperlipidemia 34
Percent Of With Hypertension 63
Percent Of With Ischemic Heart Disease 24
Percent Of With Osteoporosis
Percent Of With Rheumatoid Arthritis Osteoarthritis 44
Percent Of With Schizophrenia Other PsychoticDisorders
Percent Of With Stroke
Average HCC Risk Score Of Beneficiaries 1.5306

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