Medicare Facts for Darlene M. Haviland, MPAS


National Provider Identifier [NPI]: 1720067879
Last Name Of The Provider HAVILAND
First Name Of The Provider DARLENE
Middle Initial Of The Provider M
Credentials Of The Provider PAC
Gender Of The Provider F
Entity Type Of The Provider I
Street Address 1 Of The Provider 113 ELM ST
Street Address 2 Of The Provider
City Of The Provider ENFIELD
Zip Code Of The Provider 060823700
State Code Of The Provider CT
Country Code Of The Provider US
Provider Type Of The Provider Physician Assistant
Medicare Participation Indicator Y
Number Of HCPCS 45
Number Of Services 2080
Number Of Medicare Beneficiaries 569
Total Submitted Charge Amount 177785.43
Total Medicare Allowed Amount 92579.18
Total Medicare Payment Amount 62939.21
Total Medicare Standardized Payment Amount 69292.46
Drug Suppress Indicator
Number Of HCPCS Associated With Drug Services 3
Number Of Drug Services 37
Number Of Medicare Beneficiaries With Drug Services 18
Total Drug Submitted ChargeAmount 2463.54
Total Drug Medicare AllowedAmount 1943.67
Total Drug Medicare PaymentAmount 1500.68
Total Drug Medicare Standardized Payment Amount 1500.68
Medical SuppressIndicator
Number Of HCPCS Associated With MedicalServices 42
Number Of Medical Services 2043
Number Of Medicare Beneficiaries With Medical Services 569
Total Medical Submitted Charge Amount 175321.89
Total Medical Medicare Allowed Amount 90635.51
Total Medical Medicare Payment Amount 61438.53
Total Medical Medicare Standardized Payment Amount 67791.78
Average Age Of Beneficiaries 73
Number Of Beneficiaries Age Less65 38
Number Of Beneficiaries Age 65 to 74 284
Number Of Beneficiaries Age 75 to 84 194
Number Of Beneficiaries Age Greater 84 53
Number Of Female Beneficiaries 388
Number Of Male Beneficiaries 181
Number Of Non Hispanic White Beneficiaries 546
Number Of Black or African American Beneficiaries
Number Of AsianPacific Islander Beneficiaries 0
Number Of Hispanic Beneficiaries 12
Number Of American Indian Alaska Native Beneficiaries 0
Number Of Beneficiaries With Race Not Else where Classified
Number Of Beneficiaries With Medicare Only Entitlement 497
Number Of Beneficiaries With Medicare Medicaid Entitlement 72
Percent Of With Atrial Fibrillation 10
Percent Of With Alzheimers Disease or Dementia 4
Percent Of With Asthma 6
Percent Of With Cancer 12
Percent Of With Heart Failure 10
Percent Of With Chronic Kidney Disease 13
Percent Of With Chronic Obstructive Pulmonary Disease 9
Percent Of With Depression 14
Percent Of With Diabetes 20
Percent Of With Hyperlipidemia 54
Percent Of With Hypertension 63
Percent Of With Ischemic Heart Disease 23
Percent Of With Osteoporosis 11
Percent Of With Rheumatoid Arthritis Osteoarthritis 42
Percent Of With Schizophrenia Other PsychoticDisorders
Percent Of With Stroke 3
Average HCC Risk Score Of Beneficiaries 0.8343

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