Medicare Facts for Kristine M. Clements, ARNP


National Provider Identifier [NPI]: 1710020771
Last Name Of The Provider CLEMENTS
First Name Of The Provider KRISTINE
Middle Initial Of The Provider M
Credentials Of The Provider ARNP
Gender Of The Provider F
Entity Type Of The Provider I
Street Address 1 Of The Provider 236 E NEWPORT AVE
Street Address 2 Of The Provider
City Of The Provider HERMISTON
Zip Code Of The Provider 978382449
State Code Of The Provider OR
Country Code Of The Provider US
Provider Type Of The Provider Nurse Practitioner
Medicare Participation Indicator Y
Number Of HCPCS 4
Number Of Services 29
Number Of Medicare Beneficiaries 29
Total Submitted Charge Amount 3473
Total Medicare Allowed Amount 1905.74
Total Medicare Payment Amount 1560.49
Total Medicare Standardized Payment Amount 1841.67
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 4
Number Of Medical Services 29
Number Of Medicare Beneficiaries With Medical Services 29
Total Medical Submitted Charge Amount 3473
Total Medical Medicare Allowed Amount 1905.74
Total Medical Medicare Payment Amount 1560.49
Total Medical Medicare Standardized Payment Amount 1841.67
Average Age Of Beneficiaries 71
Number Of Beneficiaries Age Less65
Number Of Beneficiaries Age 65 to 74 14
Number Of Beneficiaries Age 75 to 84
Number Of Beneficiaries Age Greater 84
Number Of Female Beneficiaries 17
Number Of Male Beneficiaries 12
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
Percent Of With Depression
Percent Of With Diabetes
Percent Of With Hyperlipidemia 72
Percent Of With Hypertension 75
Percent Of With Ischemic Heart Disease
Percent Of With Osteoporosis
Percent Of With Rheumatoid Arthritis Osteoarthritis 38
Percent Of With Schizophrenia Other PsychoticDisorders 0
Percent Of With Stroke
Average HCC Risk Score Of Beneficiaries 1.0071

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