Medicare Facts for Bryan Phelps, CRNA


National Provider Identifier [NPI]: 1447598214
Last Name Of The Provider PHELPS
First Name Of The Provider BRYAN
Middle Initial Of The Provider
Credentials Of The Provider CRNA
Gender Of The Provider M
Entity Type Of The Provider I
Street Address 1 Of The Provider 1221 HIGHLAND AVE
Street Address 2 Of The Provider
City Of The Provider CLARKSTON
Zip Code Of The Provider 994032829
State Code Of The Provider WA
Country Code Of The Provider US
Provider Type Of The Provider CRNA
Medicare Participation Indicator Y
Number Of HCPCS 33
Number Of Services 131
Number Of Medicare Beneficiaries 88
Total Submitted Charge Amount 149387
Total Medicare Allowed Amount 29088.56
Total Medicare Payment Amount 22210.33
Total Medicare Standardized Payment Amount 23058.21
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 33
Number Of Medical Services 131
Number Of Medicare Beneficiaries With Medical Services 88
Total Medical Submitted Charge Amount 149387
Total Medical Medicare Allowed Amount 29088.56
Total Medical Medicare Payment Amount 22210.33
Total Medical Medicare Standardized Payment Amount 23058.21
Average Age Of Beneficiaries 73
Number Of Beneficiaries Age Less65
Number Of Beneficiaries Age 65 to 74 32
Number Of Beneficiaries Age 75 to 84 34
Number Of Beneficiaries Age Greater 84
Number Of Female Beneficiaries 54
Number Of Male Beneficiaries 34
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 70
Number Of Beneficiaries With Medicare Medicaid Entitlement 18
Percent Of With Atrial Fibrillation
Percent Of With Alzheimers Disease or Dementia 17
Percent Of With Asthma 15
Percent Of With Cancer
Percent Of With Heart Failure 39
Percent Of With Chronic Kidney Disease 24
Percent Of With Chronic Obstructive Pulmonary Disease 14
Percent Of With Depression 19
Percent Of With Diabetes 44
Percent Of With Hyperlipidemia 42
Percent Of With Hypertension 75
Percent Of With Ischemic Heart Disease 38
Percent Of With Osteoporosis
Percent Of With Rheumatoid Arthritis Osteoarthritis 74
Percent Of With Schizophrenia Other PsychoticDisorders
Percent Of With Stroke
Average HCC Risk Score Of Beneficiaries 1.7951

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