Medicare Facts for Kristen L. Kelly, CRNA


National Provider Identifier [NPI]: 1386813418
Last Name Of The Provider KELLY
First Name Of The Provider KRISTEN
Middle Initial Of The Provider L
Credentials Of The Provider CRNA
Gender Of The Provider F
Entity Type Of The Provider I
Street Address 1 Of The Provider 1602 SKIPWITH RD
Street Address 2 Of The Provider
City Of The Provider RICHMOND
Zip Code Of The Provider 232295205
State Code Of The Provider VA
Country Code Of The Provider US
Provider Type Of The Provider CRNA
Medicare Participation Indicator Y
Number Of HCPCS 36
Number Of Services 103
Number Of Medicare Beneficiaries 101
Total Submitted Charge Amount 87281.7
Total Medicare Allowed Amount 15300.28
Total Medicare Payment Amount 11718.43
Total Medicare Standardized Payment Amount 11978.15
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 36
Number Of Medical Services 103
Number Of Medicare Beneficiaries With Medical Services 101
Total Medical Submitted Charge Amount 87281.7
Total Medical Medicare Allowed Amount 15300.28
Total Medical Medicare Payment Amount 11718.43
Total Medical Medicare Standardized Payment Amount 11978.15
Average Age Of Beneficiaries 69
Number Of Beneficiaries Age Less65 23
Number Of Beneficiaries Age 65 to 74 45
Number Of Beneficiaries Age 75 to 84 20
Number Of Beneficiaries Age Greater 84 13
Number Of Female Beneficiaries 58
Number Of Male Beneficiaries 43
Number Of Non Hispanic White Beneficiaries 59
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 78
Number Of Beneficiaries With Medicare Medicaid Entitlement 23
Percent Of With Atrial Fibrillation 16
Percent Of With Alzheimers Disease or Dementia
Percent Of With Asthma 18
Percent Of With Cancer 15
Percent Of With Heart Failure 30
Percent Of With Chronic Kidney Disease 39
Percent Of With Chronic Obstructive Pulmonary Disease 21
Percent Of With Depression 30
Percent Of With Diabetes 46
Percent Of With Hyperlipidemia 66
Percent Of With Hypertension 75
Percent Of With Ischemic Heart Disease 43
Percent Of With Osteoporosis
Percent Of With Rheumatoid Arthritis Osteoarthritis 34
Percent Of With Schizophrenia Other PsychoticDisorders
Percent Of With Stroke 12
Average HCC Risk Score Of Beneficiaries 1.9939

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