Medicare Facts for Eric P. Nelson, PT


National Provider Identifier [NPI]: 1457465007
Last Name Of The Provider NELSON
First Name Of The Provider ERIC
Middle Initial Of The Provider P
Credentials Of The Provider PT
Gender Of The Provider M
Entity Type Of The Provider I
Street Address 1 Of The Provider 4000 CENTRAL AVE
Street Address 2 Of The Provider SUITE 3
City Of The Provider CHEYENNE
Zip Code Of The Provider 820011377
State Code Of The Provider WY
Country Code Of The Provider US
Provider Type Of The Provider Physical Therapist
Medicare Participation Indicator Y
Number Of HCPCS 14
Number Of Services 856
Number Of Medicare Beneficiaries 56
Total Submitted Charge Amount 35592
Total Medicare Allowed Amount 23550.64
Total Medicare Payment Amount 17802.88
Total Medicare Standardized Payment Amount 13911.16
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 14
Number Of Medical Services 856
Number Of Medicare Beneficiaries With Medical Services 56
Total Medical Submitted Charge Amount 35592
Total Medical Medicare Allowed Amount 23550.64
Total Medical Medicare Payment Amount 17802.88
Total Medical Medicare Standardized Payment Amount 13911.16
Average Age Of Beneficiaries 70
Number Of Beneficiaries Age Less65
Number Of Beneficiaries Age 65 to 74 30
Number Of Beneficiaries Age 75 to 84
Number Of Beneficiaries Age Greater 84
Number Of Female Beneficiaries 37
Number Of Male Beneficiaries 19
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
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 21
Percent Of With Depression
Percent Of With Diabetes 25
Percent Of With Hyperlipidemia 54
Percent Of With Hypertension 71
Percent Of With Ischemic Heart Disease 27
Percent Of With Osteoporosis
Percent Of With Rheumatoid Arthritis Osteoarthritis 66
Percent Of With Schizophrenia Other PsychoticDisorders
Percent Of With Stroke
Average HCC Risk Score Of Beneficiaries 1.0621

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