Medicare Facts for Doris Emmanuel, CRNA


National Provider Identifier [NPI]: 1235151804
Last Name Of The Provider EMMANUEL
First Name Of The Provider DORIS
Middle Initial Of The Provider
Credentials Of The Provider CRNA
Gender Of The Provider F
Entity Type Of The Provider I
Street Address 1 Of The Provider 12230 W FOREST HILL BLVD
Street Address 2 Of The Provider STE 182
City Of The Provider WELLINGTON
Zip Code Of The Provider 334145700
State Code Of The Provider FL
Country Code Of The Provider US
Provider Type Of The Provider CRNA
Medicare Participation Indicator Y
Number Of HCPCS 40
Number Of Services 239
Number Of Medicare Beneficiaries 202
Total Submitted Charge Amount 412308
Total Medicare Allowed Amount 50886.4
Total Medicare Payment Amount 39664.38
Total Medicare Standardized Payment Amount 36817.68
Drug Suppress Indicator
Number Of HCPCS Associated With Drug Services 0
Number Of Drug Services 0
Number Of Medicare Beneficiaries With Drug Services 0
Total Drug Submitted ChargeAmount 0
Total Drug Medicare AllowedAmount 0
Total Drug Medicare PaymentAmount 0
Total Drug Medicare Standardized Payment Amount 0
Medical SuppressIndicator
Number Of HCPCS Associated With MedicalServices 40
Number Of Medical Services 239
Number Of Medicare Beneficiaries With Medical Services 202
Total Medical Submitted Charge Amount 412308
Total Medical Medicare Allowed Amount 50886.4
Total Medical Medicare Payment Amount 39664.38
Total Medical Medicare Standardized Payment Amount 36817.68
Average Age Of Beneficiaries 72
Number Of Beneficiaries Age Less65 20
Number Of Beneficiaries Age 65 to 74 104
Number Of Beneficiaries Age 75 to 84 63
Number Of Beneficiaries Age Greater 84 15
Number Of Female Beneficiaries 113
Number Of Male Beneficiaries 89
Number Of Non Hispanic White Beneficiaries 141
Number Of Black or African American Beneficiaries 37
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 152
Number Of Beneficiaries With Medicare Medicaid Entitlement 50
Percent Of With Atrial Fibrillation 11
Percent Of With Alzheimers Disease or Dementia 11
Percent Of With Asthma 9
Percent Of With Cancer 18
Percent Of With Heart Failure 18
Percent Of With Chronic Kidney Disease 31
Percent Of With Chronic Obstructive Pulmonary Disease 18
Percent Of With Depression 23
Percent Of With Diabetes 38
Percent Of With Hyperlipidemia 75
Percent Of With Hypertension 75
Percent Of With Ischemic Heart Disease 45
Percent Of With Osteoporosis 11
Percent Of With Rheumatoid Arthritis Osteoarthritis 41
Percent Of With Schizophrenia Other PsychoticDisorders 6
Percent Of With Stroke 7
Average HCC Risk Score Of Beneficiaries 1.4858

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