Medicare Facts for Mellisa A. Hall, NP


National Provider Identifier [NPI]: 1831191030
Last Name Of The Provider HALL
First Name Of The Provider MELLISA
Middle Initial Of The Provider A
Credentials Of The Provider N.P.
Gender Of The Provider F
Entity Type Of The Provider I
Street Address 1 Of The Provider 123 N MCCREARY ST
Street Address 2 Of The Provider TULIP TREE FAMILY HEALTH
City Of The Provider FORT BRANCH
Zip Code Of The Provider 476481313
State Code Of The Provider IN
Country Code Of The Provider US
Provider Type Of The Provider Nurse Practitioner
Medicare Participation Indicator Y
Number Of HCPCS 44
Number Of Services 290
Number Of Medicare Beneficiaries 68
Total Submitted Charge Amount 26579.15
Total Medicare Allowed Amount 12490.44
Total Medicare Payment Amount 8678.05
Total Medicare Standardized Payment Amount 11094.01
Drug Suppress Indicator
Number Of HCPCS Associated With Drug Services 10
Number Of Drug Services 51
Number Of Medicare Beneficiaries With Drug Services 22
Total Drug Submitted ChargeAmount 1470
Total Drug Medicare AllowedAmount 447.62
Total Drug Medicare PaymentAmount 420.99
Total Drug Medicare Standardized Payment Amount 420.99
Medical SuppressIndicator
Number Of HCPCS Associated With MedicalServices 34
Number Of Medical Services 239
Number Of Medicare Beneficiaries With Medical Services 68
Total Medical Submitted Charge Amount 25109.15
Total Medical Medicare Allowed Amount 12042.82
Total Medical Medicare Payment Amount 8257.06
Total Medical Medicare Standardized Payment Amount 10673.02
Average Age Of Beneficiaries 65
Number Of Beneficiaries Age Less65
Number Of Beneficiaries Age 65 to 74 32
Number Of Beneficiaries Age 75 to 84
Number Of Beneficiaries Age Greater 84
Number Of Female Beneficiaries 45
Number Of Male Beneficiaries 23
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 41
Number Of Beneficiaries With Medicare Medicaid Entitlement 27
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 24
Percent Of With Chronic Obstructive Pulmonary Disease 24
Percent Of With Depression 49
Percent Of With Diabetes 31
Percent Of With Hyperlipidemia 60
Percent Of With Hypertension 75
Percent Of With Ischemic Heart Disease 34
Percent Of With Osteoporosis
Percent Of With Rheumatoid Arthritis Osteoarthritis 41
Percent Of With Schizophrenia Other PsychoticDisorders
Percent Of With Stroke
Average HCC Risk Score Of Beneficiaries 1.3033

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