Medicare Facts for Gale Brantley, CRNA


National Provider Identifier [NPI]: 1932545472
Last Name Of The Provider BRANTLEY
First Name Of The Provider GALE
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 1700 S 23RD ST
Street Address 2 Of The Provider
City Of The Provider FORT PIERCE
Zip Code Of The Provider 349504803
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 49
Number Of Services 137
Number Of Medicare Beneficiaries 128
Total Submitted Charge Amount 412442
Total Medicare Allowed Amount 48683.7
Total Medicare Payment Amount 37955.97
Total Medicare Standardized Payment Amount 35314.74
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 49
Number Of Medical Services 137
Number Of Medicare Beneficiaries With Medical Services 128
Total Medical Submitted Charge Amount 412442
Total Medical Medicare Allowed Amount 48683.7
Total Medical Medicare Payment Amount 37955.97
Total Medical Medicare Standardized Payment Amount 35314.74
Average Age Of Beneficiaries 71
Number Of Beneficiaries Age Less65 30
Number Of Beneficiaries Age 65 to 74 48
Number Of Beneficiaries Age 75 to 84 30
Number Of Beneficiaries Age Greater 84 20
Number Of Female Beneficiaries 56
Number Of Male Beneficiaries 72
Number Of Non Hispanic White Beneficiaries 93
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 82
Number Of Beneficiaries With Medicare Medicaid Entitlement 46
Percent Of With Atrial Fibrillation 27
Percent Of With Alzheimers Disease or Dementia 27
Percent Of With Asthma 9
Percent Of With Cancer 9
Percent Of With Heart Failure 50
Percent Of With Chronic Kidney Disease 52
Percent Of With Chronic Obstructive Pulmonary Disease 30
Percent Of With Depression 42
Percent Of With Diabetes 45
Percent Of With Hyperlipidemia 75
Percent Of With Hypertension 75
Percent Of With Ischemic Heart Disease 75
Percent Of With Osteoporosis 9
Percent Of With Rheumatoid Arthritis Osteoarthritis 44
Percent Of With Schizophrenia Other PsychoticDisorders 13
Percent Of With Stroke 21
Average HCC Risk Score Of Beneficiaries 2.9752

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