Medicare Facts for Andra J. Fontaine, FNP-C


National Provider Identifier [NPI]: 1083890461
Last Name Of The Provider FONTAINE
First Name Of The Provider ANDRA
Middle Initial Of The Provider J
Credentials Of The Provider FNP-C
Gender Of The Provider F
Entity Type Of The Provider I
Street Address 1 Of The Provider 107 N PINE ST
Street Address 2 Of The Provider
City Of The Provider PITTSBURG
Zip Code Of The Provider 667624743
State Code Of The Provider KS
Country Code Of The Provider US
Provider Type Of The Provider Nurse Practitioner
Medicare Participation Indicator Y
Number Of HCPCS 21
Number Of Services 4558
Number Of Medicare Beneficiaries 757
Total Submitted Charge Amount 148146
Total Medicare Allowed Amount 78477.86
Total Medicare Payment Amount 54625.8
Total Medicare Standardized Payment Amount 69440.09
Drug Suppress Indicator
Number Of HCPCS Associated With Drug Services 2
Number Of Drug Services 27
Number Of Medicare Beneficiaries With Drug Services 26
Total Drug Submitted ChargeAmount 405
Total Drug Medicare AllowedAmount 163.11
Total Drug Medicare PaymentAmount 122.96
Total Drug Medicare Standardized Payment Amount 122.96
Medical SuppressIndicator
Number Of HCPCS Associated With MedicalServices 19
Number Of Medical Services 4531
Number Of Medicare Beneficiaries With Medical Services 757
Total Medical Submitted Charge Amount 147741
Total Medical Medicare Allowed Amount 78314.75
Total Medical Medicare Payment Amount 54502.84
Total Medical Medicare Standardized Payment Amount 69317.13
Average Age Of Beneficiaries 73
Number Of Beneficiaries Age Less65 123
Number Of Beneficiaries Age 65 to 74 293
Number Of Beneficiaries Age 75 to 84 227
Number Of Beneficiaries Age Greater 84 114
Number Of Female Beneficiaries 466
Number Of Male Beneficiaries 291
Number Of Non Hispanic White Beneficiaries 738
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 595
Number Of Beneficiaries With Medicare Medicaid Entitlement 162
Percent Of With Atrial Fibrillation 12
Percent Of With Alzheimers Disease or Dementia 7
Percent Of With Asthma 7
Percent Of With Cancer 9
Percent Of With Heart Failure 16
Percent Of With Chronic Kidney Disease 16
Percent Of With Chronic Obstructive Pulmonary Disease 15
Percent Of With Depression 22
Percent Of With Diabetes 30
Percent Of With Hyperlipidemia 48
Percent Of With Hypertension 66
Percent Of With Ischemic Heart Disease 36
Percent Of With Osteoporosis 5
Percent Of With Rheumatoid Arthritis Osteoarthritis 39
Percent Of With Schizophrenia Other PsychoticDisorders 5
Percent Of With Stroke 3
Average HCC Risk Score Of Beneficiaries 1.114

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