Medicare Facts for Heather M. Gallagher, PTA


National Provider Identifier [NPI]: 1477595353
Last Name Of The Provider GALLAGHER
First Name Of The Provider HEATHER
Middle Initial Of The Provider A
Credentials Of The Provider PA-C
Gender Of The Provider F
Entity Type Of The Provider I
Street Address 1 Of The Provider 100 HITCHCOCK WAY
Street Address 2 Of The Provider
City Of The Provider MANCHESTER
Zip Code Of The Provider 031044125
State Code Of The Provider NH
Country Code Of The Provider US
Provider Type Of The Provider Physician Assistant
Medicare Participation Indicator Y
Number Of HCPCS 42
Number Of Services 423
Number Of Medicare Beneficiaries 222
Total Submitted Charge Amount 58230.94
Total Medicare Allowed Amount 20679.71
Total Medicare Payment Amount 14652.44
Total Medicare Standardized Payment Amount 17206.79
Drug Suppress Indicator *
Number Of HCPCS Associated With Drug Services
Number Of Drug Services
Number Of Medicare Beneficiaries With Drug Services
Total Drug Submitted ChargeAmount
Total Drug Medicare AllowedAmount
Total Drug Medicare PaymentAmount
Total Drug Medicare Standardized Payment Amount
Medical SuppressIndicator #
Number Of HCPCS Associated With MedicalServices
Number Of Medical Services
Number Of Medicare Beneficiaries With Medical Services
Total Medical Submitted Charge Amount
Total Medical Medicare Allowed Amount
Total Medical Medicare Payment Amount
Total Medical Medicare Standardized Payment Amount
Average Age Of Beneficiaries 67
Number Of Beneficiaries Age Less65 61
Number Of Beneficiaries Age 65 to 74 84
Number Of Beneficiaries Age 75 to 84 50
Number Of Beneficiaries Age Greater 84 27
Number Of Female Beneficiaries 156
Number Of Male Beneficiaries 66
Number Of Non Hispanic White Beneficiaries 203
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 169
Number Of Beneficiaries With Medicare Medicaid Entitlement 53
Percent Of With Atrial Fibrillation 10
Percent Of With Alzheimers Disease or Dementia
Percent Of With Asthma 14
Percent Of With Cancer 6
Percent Of With Heart Failure 14
Percent Of With Chronic Kidney Disease 17
Percent Of With Chronic Obstructive Pulmonary Disease 14
Percent Of With Depression 27
Percent Of With Diabetes 24
Percent Of With Hyperlipidemia 50
Percent Of With Hypertension 50
Percent Of With Ischemic Heart Disease 23
Percent Of With Osteoporosis 6
Percent Of With Rheumatoid Arthritis Osteoarthritis 36
Percent Of With Schizophrenia Other PsychoticDisorders 6
Percent Of With Stroke
Average HCC Risk Score Of Beneficiaries 1.039

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