Medicare Facts for Maile Eddy, OT


National Provider Identifier [NPI]: 1285611491
Last Name Of The Provider EDDY
First Name Of The Provider MAILE
Middle Initial Of The Provider
Credentials Of The Provider OT
Gender Of The Provider F
Entity Type Of The Provider I
Street Address 1 Of The Provider 2966 ROUTE 34
Street Address 2 Of The Provider
City Of The Provider OSWEGO
Zip Code Of The Provider 605438362
State Code Of The Provider IL
Country Code Of The Provider US
Provider Type Of The Provider Occupational therapist
Medicare Participation Indicator Y
Number Of HCPCS 9
Number Of Services 661
Number Of Medicare Beneficiaries 16
Total Submitted Charge Amount 51802
Total Medicare Allowed Amount 17668.98
Total Medicare Payment Amount 13571.76
Total Medicare Standardized Payment Amount 12263.5
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 9
Number Of Medical Services 661
Number Of Medicare Beneficiaries With Medical Services 16
Total Medical Submitted Charge Amount 51802
Total Medical Medicare Allowed Amount 17668.98
Total Medical Medicare Payment Amount 13571.76
Total Medical Medicare Standardized Payment Amount 12263.5
Average Age Of Beneficiaries 69
Number Of Beneficiaries Age Less65
Number Of Beneficiaries Age 65 to 74
Number Of Beneficiaries Age 75 to 84
Number Of Beneficiaries Age Greater 84
Number Of Female Beneficiaries
Number Of Male Beneficiaries
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 0
Percent Of With Chronic Obstructive Pulmonary Disease 0
Percent Of With Depression
Percent Of With Diabetes
Percent Of With Hyperlipidemia
Percent Of With Hypertension
Percent Of With Ischemic Heart Disease
Percent Of With Osteoporosis 0
Percent Of With Rheumatoid Arthritis Osteoarthritis
Percent Of With Schizophrenia Other PsychoticDisorders 0
Percent Of With Stroke
Average HCC Risk Score Of Beneficiaries 0.6787

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