Medicare Facts for Andrea T. Harris


National Provider Identifier [NPI]: 1154439669
Last Name Of The Provider HARRIS
First Name Of The Provider ANDREA
Middle Initial Of The Provider L
Credentials Of The Provider MD
Gender Of The Provider F
Entity Type Of The Provider I
Street Address 1 Of The Provider 11815 EDUCATION STREET
Street Address 2 Of The Provider
City Of The Provider AUBURN
Zip Code Of The Provider 956022410
State Code Of The Provider CA
Country Code Of The Provider US
Provider Type Of The Provider Emergency Medicine
Medicare Participation Indicator Y
Number Of HCPCS 84
Number Of Services 816
Number Of Medicare Beneficiaries 366
Total Submitted Charge Amount 96348.85
Total Medicare Allowed Amount 59677.76
Total Medicare Payment Amount 43120.13
Total Medicare Standardized Payment Amount 41571.93
Drug Suppress Indicator
Number Of HCPCS Associated With Drug Services 11
Number Of Drug Services 91
Number Of Medicare Beneficiaries With Drug Services 41
Total Drug Submitted ChargeAmount 773.33
Total Drug Medicare AllowedAmount 337.59
Total Drug Medicare PaymentAmount 312.95
Total Drug Medicare Standardized Payment Amount 312.95
Medical SuppressIndicator
Number Of HCPCS Associated With MedicalServices 73
Number Of Medical Services 725
Number Of Medicare Beneficiaries With Medical Services 366
Total Medical Submitted Charge Amount 95575.52
Total Medical Medicare Allowed Amount 59340.17
Total Medical Medicare Payment Amount 42807.18
Total Medical Medicare Standardized Payment Amount 41258.98
Average Age Of Beneficiaries 74
Number Of Beneficiaries Age Less65 26
Number Of Beneficiaries Age 65 to 74 178
Number Of Beneficiaries Age 75 to 84 93
Number Of Beneficiaries Age Greater 84 69
Number Of Female Beneficiaries 211
Number Of Male Beneficiaries 155
Number Of Non Hispanic White Beneficiaries 345
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 347
Number Of Beneficiaries With Medicare Medicaid Entitlement 19
Percent Of With Atrial Fibrillation 9
Percent Of With Alzheimers Disease or Dementia 7
Percent Of With Asthma 7
Percent Of With Cancer 8
Percent Of With Heart Failure 12
Percent Of With Chronic Kidney Disease 14
Percent Of With Chronic Obstructive Pulmonary Disease 10
Percent Of With Depression 17
Percent Of With Diabetes 10
Percent Of With Hyperlipidemia 40
Percent Of With Hypertension 49
Percent Of With Ischemic Heart Disease 22
Percent Of With Osteoporosis 4
Percent Of With Rheumatoid Arthritis Osteoarthritis 33
Percent Of With Schizophrenia Other PsychoticDisorders
Percent Of With Stroke 4
Average HCC Risk Score Of Beneficiaries 0.8667

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