Medicare Facts for Catherine M. Balanda, FNP


National Provider Identifier [NPI]: 1679550164
Last Name Of The Provider BALANDA
First Name Of The Provider CATHERINE
Middle Initial Of The Provider M
Credentials Of The Provider FNP
Gender Of The Provider F
Entity Type Of The Provider I
Street Address 1 Of The Provider 20095 GILBERT RD
Street Address 2 Of The Provider
City Of The Provider BIG RAPIDS
Zip Code Of The Provider 493072365
State Code Of The Provider MI
Country Code Of The Provider US
Provider Type Of The Provider Nurse Practitioner
Medicare Participation Indicator Y
Number Of HCPCS 27
Number Of Services 1779
Number Of Medicare Beneficiaries 393
Total Submitted Charge Amount 207682.22
Total Medicare Allowed Amount 80949.27
Total Medicare Payment Amount 52815.38
Total Medicare Standardized Payment Amount 67183.94
Drug Suppress Indicator
Number Of HCPCS Associated With Drug Services 7
Number Of Drug Services 319
Number Of Medicare Beneficiaries With Drug Services 157
Total Drug Submitted ChargeAmount 4623.44
Total Drug Medicare AllowedAmount 2005.74
Total Drug Medicare PaymentAmount 1933.5
Total Drug Medicare Standardized Payment Amount 1933.5
Medical SuppressIndicator
Number Of HCPCS Associated With MedicalServices 20
Number Of Medical Services 1460
Number Of Medicare Beneficiaries With Medical Services 393
Total Medical Submitted Charge Amount 203058.78
Total Medical Medicare Allowed Amount 78943.53
Total Medical Medicare Payment Amount 50881.88
Total Medical Medicare Standardized Payment Amount 65250.44
Average Age Of Beneficiaries 71
Number Of Beneficiaries Age Less65 85
Number Of Beneficiaries Age 65 to 74 141
Number Of Beneficiaries Age 75 to 84 122
Number Of Beneficiaries Age Greater 84 45
Number Of Female Beneficiaries 229
Number Of Male Beneficiaries 164
Number Of Non Hispanic White Beneficiaries 382
Number Of Black or African American Beneficiaries
Number Of AsianPacific Islander Beneficiaries 0
Number Of Hispanic Beneficiaries
Number Of American Indian Alaska Native Beneficiaries 0
Number Of Beneficiaries With Race Not Else where Classified
Number Of Beneficiaries With Medicare Only Entitlement 299
Number Of Beneficiaries With Medicare Medicaid Entitlement 94
Percent Of With Atrial Fibrillation 12
Percent Of With Alzheimers Disease or Dementia 7
Percent Of With Asthma 6
Percent Of With Cancer 10
Percent Of With Heart Failure 17
Percent Of With Chronic Kidney Disease 22
Percent Of With Chronic Obstructive Pulmonary Disease 21
Percent Of With Depression 23
Percent Of With Diabetes 34
Percent Of With Hyperlipidemia 75
Percent Of With Hypertension 72
Percent Of With Ischemic Heart Disease 35
Percent Of With Osteoporosis 7
Percent Of With Rheumatoid Arthritis Osteoarthritis 46
Percent Of With Schizophrenia Other PsychoticDisorders 4
Percent Of With Stroke 4
Average HCC Risk Score Of Beneficiaries 1.0829

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