Medicare Facts for Lisa A. Broome, PA-C


National Provider Identifier [NPI]: 1598985178
Last Name Of The Provider BROOME
First Name Of The Provider LISA
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 16 N LA PLATA CT
Street Address 2 Of The Provider
City Of The Provider LA PLATA
Zip Code Of The Provider 206464283
State Code Of The Provider MD
Country Code Of The Provider US
Provider Type Of The Provider Physician Assistant
Medicare Participation Indicator Y
Number Of HCPCS 16
Number Of Services 183
Number Of Medicare Beneficiaries 54
Total Submitted Charge Amount 27625
Total Medicare Allowed Amount 10885.67
Total Medicare Payment Amount 8460.52
Total Medicare Standardized Payment Amount 9433.52
Drug Suppress Indicator
Number Of HCPCS Associated With Drug Services 2
Number Of Drug Services 74
Number Of Medicare Beneficiaries With Drug Services 20
Total Drug Submitted ChargeAmount 4610
Total Drug Medicare AllowedAmount 1973.9
Total Drug Medicare PaymentAmount 1547.43
Total Drug Medicare Standardized Payment Amount 1547.43
Medical SuppressIndicator
Number Of HCPCS Associated With MedicalServices 14
Number Of Medical Services 109
Number Of Medicare Beneficiaries With Medical Services 54
Total Medical Submitted Charge Amount 23015
Total Medical Medicare Allowed Amount 8911.77
Total Medical Medicare Payment Amount 6913.09
Total Medical Medicare Standardized Payment Amount 7886.09
Average Age Of Beneficiaries 72
Number Of Beneficiaries Age Less65
Number Of Beneficiaries Age 65 to 74 29
Number Of Beneficiaries Age 75 to 84
Number Of Beneficiaries Age Greater 84
Number Of Female Beneficiaries 39
Number Of Male Beneficiaries 15
Number Of Non Hispanic White Beneficiaries 42
Number Of Black or African American Beneficiaries
Number Of AsianPacific Islander Beneficiaries 0
Number Of Hispanic Beneficiaries
Number Of American Indian Alaska Native Beneficiaries 0
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 20
Percent Of With Chronic Kidney Disease 20
Percent Of With Chronic Obstructive Pulmonary Disease
Percent Of With Depression
Percent Of With Diabetes 39
Percent Of With Hyperlipidemia 61
Percent Of With Hypertension 72
Percent Of With Ischemic Heart Disease 24
Percent Of With Osteoporosis
Percent Of With Rheumatoid Arthritis Osteoarthritis 65
Percent Of With Schizophrenia Other PsychoticDisorders
Percent Of With Stroke
Average HCC Risk Score Of Beneficiaries 1.3497

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