Medicare Facts for Angela K. Conklin


National Provider Identifier [NPI]: 1508050683
Last Name Of The Provider CONKLIN
First Name Of The Provider ANGELA
Middle Initial Of The Provider K
Credentials Of The Provider APN/CNP
Gender Of The Provider F
Entity Type Of The Provider I
Street Address 1 Of The Provider 1120 HEALTHCARE DR
Street Address 2 Of The Provider
City Of The Provider MOUNT CARROLL
Zip Code Of The Provider 610531461
State Code Of The Provider IL
Country Code Of The Provider US
Provider Type Of The Provider Nurse Practitioner
Medicare Participation Indicator Y
Number Of HCPCS 40
Number Of Services 735
Number Of Medicare Beneficiaries 171
Total Submitted Charge Amount 65330
Total Medicare Allowed Amount 30079.57
Total Medicare Payment Amount 19743.91
Total Medicare Standardized Payment Amount 24728.12
Drug Suppress Indicator
Number Of HCPCS Associated With Drug Services 6
Number Of Drug Services 34
Number Of Medicare Beneficiaries With Drug Services 23
Total Drug Submitted ChargeAmount 1582
Total Drug Medicare AllowedAmount 733.77
Total Drug Medicare PaymentAmount 699.45
Total Drug Medicare Standardized Payment Amount 699.45
Medical SuppressIndicator
Number Of HCPCS Associated With MedicalServices 34
Number Of Medical Services 701
Number Of Medicare Beneficiaries With Medical Services 171
Total Medical Submitted Charge Amount 63748
Total Medical Medicare Allowed Amount 29345.8
Total Medical Medicare Payment Amount 19044.46
Total Medical Medicare Standardized Payment Amount 24028.67
Average Age Of Beneficiaries 72
Number Of Beneficiaries Age Less65 26
Number Of Beneficiaries Age 65 to 74 76
Number Of Beneficiaries Age 75 to 84 41
Number Of Beneficiaries Age Greater 84 28
Number Of Female Beneficiaries 114
Number Of Male Beneficiaries 57
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 142
Number Of Beneficiaries With Medicare Medicaid Entitlement 29
Percent Of With Atrial Fibrillation 16
Percent Of With Alzheimers Disease or Dementia
Percent Of With Asthma
Percent Of With Cancer
Percent Of With Heart Failure 14
Percent Of With Chronic Kidney Disease 13
Percent Of With Chronic Obstructive Pulmonary Disease 9
Percent Of With Depression 12
Percent Of With Diabetes 27
Percent Of With Hyperlipidemia 42
Percent Of With Hypertension 50
Percent Of With Ischemic Heart Disease 25
Percent Of With Osteoporosis
Percent Of With Rheumatoid Arthritis Osteoarthritis 25
Percent Of With Schizophrenia Other PsychoticDisorders
Percent Of With Stroke
Average HCC Risk Score Of Beneficiaries 0.974

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