National Provider Identifier [NPI]: |
1215124219 |
Last Name Of The Provider |
ELSASSER |
First Name Of The Provider |
CHRISTINE |
Middle Initial Of The Provider |
M |
Credentials Of The Provider |
PA-C |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
828 ELMHURST BLVD |
Street Address 2 Of The Provider |
|
City Of The Provider |
SALINA |
Zip Code Of The Provider |
674017406 |
State Code Of The Provider |
KS |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Physician Assistant |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
63 |
Number Of Services |
4655 |
Number Of Medicare Beneficiaries |
880 |
Total Submitted Charge Amount |
385148.5 |
Total Medicare Allowed Amount |
219239.45 |
Total Medicare Payment Amount |
156489.19 |
Total Medicare Standardized Payment Amount |
193162.94 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
4 |
Number Of Drug Services |
211 |
Number Of Medicare Beneficiaries With Drug Services |
89 |
Total Drug Submitted ChargeAmount |
22429.75 |
Total Drug Medicare AllowedAmount |
20463.54 |
Total Drug Medicare PaymentAmount |
15799.99 |
Total Drug Medicare Standardized Payment Amount |
15799.99 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
59 |
Number Of Medical Services |
4444 |
Number Of Medicare Beneficiaries With Medical Services |
880 |
Total Medical Submitted Charge Amount |
362718.75 |
Total Medical Medicare Allowed Amount |
198775.91 |
Total Medical Medicare Payment Amount |
140689.2 |
Total Medical Medicare Standardized Payment Amount |
177362.95 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
65 |
Number Of Beneficiaries Age 65 to 74 |
406 |
Number Of Beneficiaries Age 75 to 84 |
276 |
Number Of Beneficiaries Age Greater 84 |
133 |
Number Of Female Beneficiaries |
542 |
Number Of Male Beneficiaries |
338 |
Number Of Non Hispanic White Beneficiaries |
860 |
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 |
814 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
66 |
Percent Of With Atrial Fibrillation |
8 |
Percent Of With Alzheimers Disease or Dementia |
8 |
Percent Of With Asthma |
5 |
Percent Of With Cancer |
12 |
Percent Of With Heart Failure |
9 |
Percent Of With Chronic Kidney Disease |
13 |
Percent Of With Chronic Obstructive Pulmonary Disease |
10 |
Percent Of With Depression |
18 |
Percent Of With Diabetes |
22 |
Percent Of With Hyperlipidemia |
48 |
Percent Of With Hypertension |
59 |
Percent Of With Ischemic Heart Disease |
19 |
Percent Of With Osteoporosis |
7 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
38 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
3 |
Average HCC Risk Score Of Beneficiaries |
0.928 |