Medicare Facts for Dr. Kellie M. Edwards, PHD


National Provider Identifier [NPI]: 1356583942
Last Name Of The Provider EDWARDS
First Name Of The Provider KELLIE
Middle Initial Of The Provider W
Credentials Of The Provider MD
Gender Of The Provider F
Entity Type Of The Provider I
Street Address 1 Of The Provider 25395 HANCOCK AVE
Street Address 2 Of The Provider 210
City Of The Provider MURRIETA
Zip Code Of The Provider 925629019
State Code Of The Provider CA
Country Code Of The Provider US
Provider Type Of The Provider Obstetrics/Gynecology
Medicare Participation Indicator Y
Number Of HCPCS 12
Number Of Services 41
Number Of Medicare Beneficiaries 21
Total Submitted Charge Amount 5222
Total Medicare Allowed Amount 3367.38
Total Medicare Payment Amount 2595.55
Total Medicare Standardized Payment Amount 2642.08
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 12
Number Of Medical Services 41
Number Of Medicare Beneficiaries With Medical Services 21
Total Medical Submitted Charge Amount 5222
Total Medical Medicare Allowed Amount 3367.38
Total Medical Medicare Payment Amount 2595.55
Total Medical Medicare Standardized Payment Amount 2642.08
Average Age Of Beneficiaries 66
Number Of Beneficiaries Age Less65
Number Of Beneficiaries Age 65 to 74
Number Of Beneficiaries Age 75 to 84
Number Of Beneficiaries Age Greater 84
Number Of Female Beneficiaries 21
Number Of Male Beneficiaries 0
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
Number Of Beneficiaries With Medicare Medicaid Entitlement
Percent Of With Atrial Fibrillation 0
Percent Of With Alzheimers Disease or Dementia 0
Percent Of With Asthma 0
Percent Of With Cancer
Percent Of With Heart Failure
Percent Of With Chronic Kidney Disease
Percent Of With Chronic Obstructive Pulmonary Disease
Percent Of With Depression
Percent Of With Diabetes
Percent Of With Hyperlipidemia 52
Percent Of With Hypertension
Percent Of With Ischemic Heart Disease
Percent Of With Osteoporosis
Percent Of With Rheumatoid Arthritis Osteoarthritis
Percent Of With Schizophrenia Other PsychoticDisorders 0
Percent Of With Stroke 0
Average HCC Risk Score Of Beneficiaries 0.8185

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