Medicare Facts for Diane E. Campbell


National Provider Identifier [NPI]: 1902871262
Last Name Of The Provider CAMPBELL
First Name Of The Provider DIANE
Middle Initial Of The Provider S
Credentials Of The Provider MD
Gender Of The Provider F
Entity Type Of The Provider I
Street Address 1 Of The Provider 525 LONG POND DR
Street Address 2 Of The Provider
City Of The Provider HARWICH
Zip Code Of The Provider 026451227
State Code Of The Provider MA
Country Code Of The Provider US
Provider Type Of The Provider Family Practice
Medicare Participation Indicator Y
Number Of HCPCS 57
Number Of Services 3025
Number Of Medicare Beneficiaries 748
Total Submitted Charge Amount 459377.59
Total Medicare Allowed Amount 224250.94
Total Medicare Payment Amount 173651.1
Total Medicare Standardized Payment Amount 168659.23
Drug Suppress Indicator
Number Of HCPCS Associated With Drug Services 7
Number Of Drug Services 295
Number Of Medicare Beneficiaries With Drug Services 201
Total Drug Submitted ChargeAmount 14549.64
Total Drug Medicare AllowedAmount 9314.07
Total Drug Medicare PaymentAmount 9049.59
Total Drug Medicare Standardized Payment Amount 9049.59
Medical SuppressIndicator
Number Of HCPCS Associated With MedicalServices 50
Number Of Medical Services 2730
Number Of Medicare Beneficiaries With Medical Services 748
Total Medical Submitted Charge Amount 444827.95
Total Medical Medicare Allowed Amount 214936.87
Total Medical Medicare Payment Amount 164601.51
Total Medical Medicare Standardized Payment Amount 159609.64
Average Age Of Beneficiaries 75
Number Of Beneficiaries Age Less65 58
Number Of Beneficiaries Age 65 to 74 308
Number Of Beneficiaries Age 75 to 84 253
Number Of Beneficiaries Age Greater 84 129
Number Of Female Beneficiaries 469
Number Of Male Beneficiaries 279
Number Of Non Hispanic White Beneficiaries 726
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 666
Number Of Beneficiaries With Medicare Medicaid Entitlement 82
Percent Of With Atrial Fibrillation 11
Percent Of With Alzheimers Disease or Dementia 7
Percent Of With Asthma 7
Percent Of With Cancer 13
Percent Of With Heart Failure 8
Percent Of With Chronic Kidney Disease 13
Percent Of With Chronic Obstructive Pulmonary Disease 9
Percent Of With Depression 19
Percent Of With Diabetes 18
Percent Of With Hyperlipidemia 51
Percent Of With Hypertension 70
Percent Of With Ischemic Heart Disease 23
Percent Of With Osteoporosis 11
Percent Of With Rheumatoid Arthritis Osteoarthritis 37
Percent Of With Schizophrenia Other PsychoticDisorders 2
Percent Of With Stroke 5
Average HCC Risk Score Of Beneficiaries 0.9488

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