Medicare Facts for Melanie E. Martin, FNP


National Provider Identifier [NPI]: 1770507618
Last Name Of The Provider MARTIN
First Name Of The Provider MELANIE
Middle Initial Of The Provider A
Credentials Of The Provider M.D
Gender Of The Provider F
Entity Type Of The Provider I
Street Address 1 Of The Provider 50 E HAMILTON AVE
Street Address 2 Of The Provider # 100
City Of The Provider CAMPBELL
Zip Code Of The Provider 950080259
State Code Of The Provider CA
Country Code Of The Provider US
Provider Type Of The Provider Family Practice
Medicare Participation Indicator Y
Number Of HCPCS 68
Number Of Services 535
Number Of Medicare Beneficiaries 260
Total Submitted Charge Amount 103109
Total Medicare Allowed Amount 44115.66
Total Medicare Payment Amount 29164.03
Total Medicare Standardized Payment Amount 24506.44
Drug Suppress Indicator
Number Of HCPCS Associated With Drug Services 14
Number Of Drug Services 57
Number Of Medicare Beneficiaries With Drug Services 31
Total Drug Submitted ChargeAmount 3452
Total Drug Medicare AllowedAmount 897.22
Total Drug Medicare PaymentAmount 862.57
Total Drug Medicare Standardized Payment Amount 862.57
Medical SuppressIndicator
Number Of HCPCS Associated With MedicalServices 54
Number Of Medical Services 478
Number Of Medicare Beneficiaries With Medical Services 259
Total Medical Submitted Charge Amount 99657
Total Medical Medicare Allowed Amount 43218.44
Total Medical Medicare Payment Amount 28301.46
Total Medical Medicare Standardized Payment Amount 23643.87
Average Age Of Beneficiaries 72
Number Of Beneficiaries Age Less65 16
Number Of Beneficiaries Age 65 to 74 154
Number Of Beneficiaries Age 75 to 84 61
Number Of Beneficiaries Age Greater 84 29
Number Of Female Beneficiaries 164
Number Of Male Beneficiaries 96
Number Of Non Hispanic White Beneficiaries 202
Number Of Black or African American Beneficiaries
Number Of AsianPacific Islander Beneficiaries 16
Number Of Hispanic Beneficiaries 30
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 7
Percent Of With Alzheimers Disease or Dementia 7
Percent Of With Asthma 7
Percent Of With Cancer 10
Percent Of With Heart Failure 10
Percent Of With Chronic Kidney Disease 18
Percent Of With Chronic Obstructive Pulmonary Disease 6
Percent Of With Depression 11
Percent Of With Diabetes 27
Percent Of With Hyperlipidemia 61
Percent Of With Hypertension 61
Percent Of With Ischemic Heart Disease 23
Percent Of With Osteoporosis 7
Percent Of With Rheumatoid Arthritis Osteoarthritis 26
Percent Of With Schizophrenia Other PsychoticDisorders
Percent Of With Stroke
Average HCC Risk Score Of Beneficiaries 0.8269

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