Medicare Facts for Melanie A. Gardner, LPC


National Provider Identifier [NPI]: 1679542096
Last Name Of The Provider GARDNER
First Name Of The Provider MELANIE
Middle Initial Of The Provider B
Credentials Of The Provider M.D.
Gender Of The Provider F
Entity Type Of The Provider I
Street Address 1 Of The Provider 68278 MAIN ST
Street Address 2 Of The Provider
City Of The Provider BLOUNTSVILLE
Zip Code Of The Provider 350313370
State Code Of The Provider AL
Country Code Of The Provider US
Provider Type Of The Provider Family Practice
Medicare Participation Indicator Y
Number Of HCPCS 69
Number Of Services 2340
Number Of Medicare Beneficiaries 283
Total Submitted Charge Amount 114632.54
Total Medicare Allowed Amount 86571.89
Total Medicare Payment Amount 58612.85
Total Medicare Standardized Payment Amount 64565.08
Drug Suppress Indicator
Number Of HCPCS Associated With Drug Services 11
Number Of Drug Services 397
Number Of Medicare Beneficiaries With Drug Services 109
Total Drug Submitted ChargeAmount 3820.4
Total Drug Medicare AllowedAmount 2497.67
Total Drug Medicare PaymentAmount 2275.76
Total Drug Medicare Standardized Payment Amount 2275.76
Medical SuppressIndicator
Number Of HCPCS Associated With MedicalServices 58
Number Of Medical Services 1943
Number Of Medicare Beneficiaries With Medical Services 283
Total Medical Submitted Charge Amount 110812.14
Total Medical Medicare Allowed Amount 84074.22
Total Medical Medicare Payment Amount 56337.09
Total Medical Medicare Standardized Payment Amount 62289.32
Average Age Of Beneficiaries 72
Number Of Beneficiaries Age Less65 43
Number Of Beneficiaries Age 65 to 74 130
Number Of Beneficiaries Age 75 to 84 85
Number Of Beneficiaries Age Greater 84 25
Number Of Female Beneficiaries 162
Number Of Male Beneficiaries 121
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 221
Number Of Beneficiaries With Medicare Medicaid Entitlement 62
Percent Of With Atrial Fibrillation 12
Percent Of With Alzheimers Disease or Dementia 6
Percent Of With Asthma 6
Percent Of With Cancer 8
Percent Of With Heart Failure 19
Percent Of With Chronic Kidney Disease 14
Percent Of With Chronic Obstructive Pulmonary Disease 19
Percent Of With Depression 20
Percent Of With Diabetes 33
Percent Of With Hyperlipidemia 61
Percent Of With Hypertension 75
Percent Of With Ischemic Heart Disease 40
Percent Of With Osteoporosis
Percent Of With Rheumatoid Arthritis Osteoarthritis 35
Percent Of With Schizophrenia Other PsychoticDisorders
Percent Of With Stroke 6
Average HCC Risk Score Of Beneficiaries 1.0945

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