Medicare Facts for Adrienne M. Bragg, RD


National Provider Identifier [NPI]: 1700172574
Last Name Of The Provider BRAGG
First Name Of The Provider ADRIENNE
Middle Initial Of The Provider M
Credentials Of The Provider R.D.
Gender Of The Provider F
Entity Type Of The Provider I
Street Address 1 Of The Provider 1 GUTHRIE SQ
Street Address 2 Of The Provider
City Of The Provider SAYRE
Zip Code Of The Provider 188401625
State Code Of The Provider PA
Country Code Of The Provider US
Provider Type Of The Provider Registered Dietician/Nutrition Professional
Medicare Participation Indicator Y
Number Of HCPCS 2
Number Of Services 101
Number Of Medicare Beneficiaries 28
Total Submitted Charge Amount 4040
Total Medicare Allowed Amount 2821
Total Medicare Payment Amount 2689.04
Total Medicare Standardized Payment Amount 1225.39
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 2
Number Of Medical Services 101
Number Of Medicare Beneficiaries With Medical Services 28
Total Medical Submitted Charge Amount 4040
Total Medical Medicare Allowed Amount 2821
Total Medical Medicare Payment Amount 2689.04
Total Medical Medicare Standardized Payment Amount 1225.39
Average Age Of Beneficiaries 60
Number Of Beneficiaries Age Less65 17
Number Of Beneficiaries Age 65 to 74 11
Number Of Beneficiaries Age 75 to 84 0
Number Of Beneficiaries Age Greater 84 0
Number Of Female Beneficiaries
Number Of Male Beneficiaries
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 15
Number Of Beneficiaries With Medicare Medicaid Entitlement 13
Percent Of With Atrial Fibrillation 0
Percent Of With Alzheimers Disease or Dementia 0
Percent Of With Asthma
Percent Of With Cancer
Percent Of With Heart Failure
Percent Of With Chronic Kidney Disease
Percent Of With Chronic Obstructive Pulmonary Disease 0
Percent Of With Depression 43
Percent Of With Diabetes 75
Percent Of With Hyperlipidemia 75
Percent Of With Hypertension 75
Percent Of With Ischemic Heart Disease
Percent Of With Osteoporosis 0
Percent Of With Rheumatoid Arthritis Osteoarthritis 54
Percent Of With Schizophrenia Other PsychoticDisorders
Percent Of With Stroke
Average HCC Risk Score Of Beneficiaries 1.5449

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