Medicare Facts for Monica N. Masingale, APN


National Provider Identifier [NPI]: 1225075781
Last Name Of The Provider MASINGALE
First Name Of The Provider MONICA
Middle Initial Of The Provider N
Credentials Of The Provider APN
Gender Of The Provider F
Entity Type Of The Provider I
Street Address 1 Of The Provider 321 W ATHENS ST
Street Address 2 Of The Provider
City Of The Provider ENGLEWOOD
Zip Code Of The Provider 373293269
State Code Of The Provider TN
Country Code Of The Provider US
Provider Type Of The Provider Nurse Practitioner
Medicare Participation Indicator Y
Number Of HCPCS 76
Number Of Services 11962
Number Of Medicare Beneficiaries 218
Total Submitted Charge Amount 1003355.96
Total Medicare Allowed Amount 314738.25
Total Medicare Payment Amount 280957.65
Total Medicare Standardized Payment Amount 246330.04
Drug Suppress Indicator
Number Of HCPCS Associated With Drug Services 9
Number Of Drug Services 1595
Number Of Medicare Beneficiaries With Drug Services 30
Total Drug Submitted ChargeAmount 21232.96
Total Drug Medicare AllowedAmount 5187.05
Total Drug Medicare PaymentAmount 3945.11
Total Drug Medicare Standardized Payment Amount 3945.11
Medical SuppressIndicator
Number Of HCPCS Associated With MedicalServices 67
Number Of Medical Services 10367
Number Of Medicare Beneficiaries With Medical Services 218
Total Medical Submitted Charge Amount 982123
Total Medical Medicare Allowed Amount 309551.2
Total Medical Medicare Payment Amount 277012.54
Total Medical Medicare Standardized Payment Amount 242384.93
Average Age Of Beneficiaries 53
Number Of Beneficiaries Age Less65 177
Number Of Beneficiaries Age 65 to 74
Number Of Beneficiaries Age 75 to 84
Number Of Beneficiaries Age Greater 84
Number Of Female Beneficiaries 122
Number Of Male Beneficiaries 96
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 49
Number Of Beneficiaries With Medicare Medicaid Entitlement 169
Percent Of With Atrial Fibrillation
Percent Of With Alzheimers Disease or Dementia
Percent Of With Asthma 15
Percent Of With Cancer
Percent Of With Heart Failure 11
Percent Of With Chronic Kidney Disease 12
Percent Of With Chronic Obstructive Pulmonary Disease 38
Percent Of With Depression 73
Percent Of With Diabetes 24
Percent Of With Hyperlipidemia 28
Percent Of With Hypertension 56
Percent Of With Ischemic Heart Disease 21
Percent Of With Osteoporosis
Percent Of With Rheumatoid Arthritis Osteoarthritis 51
Percent Of With Schizophrenia Other PsychoticDisorders 9
Percent Of With Stroke 6
Average HCC Risk Score Of Beneficiaries 1.2285

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