Medicare Facts for Bryan L. Canwell, PA-C


National Provider Identifier [NPI]: 1598741860
Last Name Of The Provider CANWELL
First Name Of The Provider BRYAN
Middle Initial Of The Provider L
Credentials Of The Provider PA-C
Gender Of The Provider M
Entity Type Of The Provider I
Street Address 1 Of The Provider 73265 CONFEDERATED WAY
Street Address 2 Of The Provider
City Of The Provider PENDLETON
Zip Code Of The Provider 97801
State Code Of The Provider OR
Country Code Of The Provider US
Provider Type Of The Provider Physician Assistant
Medicare Participation Indicator Y
Number Of HCPCS 46
Number Of Services 772
Number Of Medicare Beneficiaries 92
Total Submitted Charge Amount 57041.96
Total Medicare Allowed Amount 21828.17
Total Medicare Payment Amount 16114.64
Total Medicare Standardized Payment Amount 19069.77
Drug Suppress Indicator
Number Of HCPCS Associated With Drug Services 11
Number Of Drug Services 132
Number Of Medicare Beneficiaries With Drug Services 45
Total Drug Submitted ChargeAmount 2209.96
Total Drug Medicare AllowedAmount 713.89
Total Drug Medicare PaymentAmount 649.79
Total Drug Medicare Standardized Payment Amount 649.79
Medical SuppressIndicator
Number Of HCPCS Associated With MedicalServices 35
Number Of Medical Services 640
Number Of Medicare Beneficiaries With Medical Services 92
Total Medical Submitted Charge Amount 54832
Total Medical Medicare Allowed Amount 21114.28
Total Medical Medicare Payment Amount 15464.85
Total Medical Medicare Standardized Payment Amount 18419.98
Average Age Of Beneficiaries 70
Number Of Beneficiaries Age Less65
Number Of Beneficiaries Age 65 to 74 37
Number Of Beneficiaries Age 75 to 84 26
Number Of Beneficiaries Age Greater 84
Number Of Female Beneficiaries 52
Number Of Male Beneficiaries 40
Number Of Non Hispanic White Beneficiaries 0
Number Of Black or African American Beneficiaries 0
Number Of AsianPacific Islander Beneficiaries 0
Number Of Hispanic Beneficiaries 0
Number Of American Indian Alaska Native Beneficiaries 92
Number Of Beneficiaries With Race Not Else where Classified 0
Number Of Beneficiaries With Medicare Only Entitlement 65
Number Of Beneficiaries With Medicare Medicaid Entitlement 27
Percent Of With Atrial Fibrillation
Percent Of With Alzheimers Disease or Dementia
Percent Of With Asthma
Percent Of With Cancer
Percent Of With Heart Failure 23
Percent Of With Chronic Kidney Disease 28
Percent Of With Chronic Obstructive Pulmonary Disease
Percent Of With Depression 16
Percent Of With Diabetes 53
Percent Of With Hyperlipidemia 41
Percent Of With Hypertension 55
Percent Of With Ischemic Heart Disease 28
Percent Of With Osteoporosis
Percent Of With Rheumatoid Arthritis Osteoarthritis 39
Percent Of With Schizophrenia Other PsychoticDisorders 0
Percent Of With Stroke
Average HCC Risk Score Of Beneficiaries 1.3608

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