Medicare Facts for Dr. Kristi A. Gagne, MD


National Provider Identifier [NPI]: 1245210848
Last Name Of The Provider GAGNE
First Name Of The Provider KRISTI
Middle Initial Of The Provider A
Credentials Of The Provider MD
Gender Of The Provider F
Entity Type Of The Provider I
Street Address 1 Of The Provider 1527 BROADWAY ST
Street Address 2 Of The Provider
City Of The Provider ALEXANDRIA
Zip Code Of The Provider 563082537
State Code Of The Provider MN
Country Code Of The Provider US
Provider Type Of The Provider Family Practice
Medicare Participation Indicator Y
Number Of HCPCS 69
Number Of Services 1587
Number Of Medicare Beneficiaries 182
Total Submitted Charge Amount 95658
Total Medicare Allowed Amount 34542.44
Total Medicare Payment Amount 27062.42
Total Medicare Standardized Payment Amount 27290.64
Drug Suppress Indicator
Number Of HCPCS Associated With Drug Services 8
Number Of Drug Services 653
Number Of Medicare Beneficiaries With Drug Services 34
Total Drug Submitted ChargeAmount 3575
Total Drug Medicare AllowedAmount 2175.66
Total Drug Medicare PaymentAmount 2065.05
Total Drug Medicare Standardized Payment Amount 2065.05
Medical SuppressIndicator
Number Of HCPCS Associated With MedicalServices 61
Number Of Medical Services 934
Number Of Medicare Beneficiaries With Medical Services 182
Total Medical Submitted Charge Amount 92083
Total Medical Medicare Allowed Amount 32366.78
Total Medical Medicare Payment Amount 24997.37
Total Medical Medicare Standardized Payment Amount 25225.59
Average Age Of Beneficiaries 68
Number Of Beneficiaries Age Less65 49
Number Of Beneficiaries Age 65 to 74 60
Number Of Beneficiaries Age 75 to 84 50
Number Of Beneficiaries Age Greater 84 23
Number Of Female Beneficiaries 144
Number Of Male Beneficiaries 38
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 133
Number Of Beneficiaries With Medicare Medicaid Entitlement 49
Percent Of With Atrial Fibrillation 6
Percent Of With Alzheimers Disease or Dementia 7
Percent Of With Asthma 6
Percent Of With Cancer
Percent Of With Heart Failure 10
Percent Of With Chronic Kidney Disease 10
Percent Of With Chronic Obstructive Pulmonary Disease
Percent Of With Depression 27
Percent Of With Diabetes 20
Percent Of With Hyperlipidemia 32
Percent Of With Hypertension 42
Percent Of With Ischemic Heart Disease 17
Percent Of With Osteoporosis
Percent Of With Rheumatoid Arthritis Osteoarthritis 27
Percent Of With Schizophrenia Other PsychoticDisorders
Percent Of With Stroke
Average HCC Risk Score Of Beneficiaries 0.8245

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