Medicare Facts for Diana Vandermast, FNP


National Provider Identifier [NPI]: 1669423349
Last Name Of The Provider VANDERMAST
First Name Of The Provider DIANA
Middle Initial Of The Provider
Credentials Of The Provider FNP
Gender Of The Provider F
Entity Type Of The Provider I
Street Address 1 Of The Provider 22 HALEY CT
Street Address 2 Of The Provider
City Of The Provider SANGERVILLE
Zip Code Of The Provider 044793000
State Code Of The Provider ME
Country Code Of The Provider US
Provider Type Of The Provider Nurse Practitioner
Medicare Participation Indicator Y
Number Of HCPCS 34
Number Of Services 394
Number Of Medicare Beneficiaries 75
Total Submitted Charge Amount 14127.5
Total Medicare Allowed Amount 6146.01
Total Medicare Payment Amount 5697.59
Total Medicare Standardized Payment Amount 5589.13
Drug Suppress Indicator *
Number Of HCPCS Associated With Drug Services
Number Of Drug Services
Number Of Medicare Beneficiaries With Drug Services
Total Drug Submitted ChargeAmount
Total Drug Medicare AllowedAmount
Total Drug Medicare PaymentAmount
Total Drug Medicare Standardized Payment Amount
Medical SuppressIndicator #
Number Of HCPCS Associated With MedicalServices
Number Of Medical Services
Number Of Medicare Beneficiaries With Medical Services
Total Medical Submitted Charge Amount
Total Medical Medicare Allowed Amount
Total Medical Medicare Payment Amount
Total Medical Medicare Standardized Payment Amount
Average Age Of Beneficiaries 71
Number Of Beneficiaries Age Less65 15
Number Of Beneficiaries Age 65 to 74 28
Number Of Beneficiaries Age 75 to 84 19
Number Of Beneficiaries Age Greater 84 13
Number Of Female Beneficiaries 47
Number Of Male Beneficiaries 28
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 38
Number Of Beneficiaries With Medicare Medicaid Entitlement 37
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
Percent Of With Chronic Kidney Disease
Percent Of With Chronic Obstructive Pulmonary Disease 17
Percent Of With Depression 23
Percent Of With Diabetes 35
Percent Of With Hyperlipidemia 75
Percent Of With Hypertension 63
Percent Of With Ischemic Heart Disease 27
Percent Of With Osteoporosis
Percent Of With Rheumatoid Arthritis Osteoarthritis 33
Percent Of With Schizophrenia Other PsychoticDisorders
Percent Of With Stroke
Average HCC Risk Score Of Beneficiaries 0.989

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