Medicare Facts for Nancy B. Stultz, OT


National Provider Identifier [NPI]: 1932176567
Last Name Of The Provider STULTZ
First Name Of The Provider NANCY
Middle Initial Of The Provider
Credentials Of The Provider CRNA
Gender Of The Provider F
Entity Type Of The Provider I
Street Address 1 Of The Provider 5419 NE HIGHWAY 103
Street Address 2 Of The Provider
City Of The Provider WEIR
Zip Code Of The Provider 667814124
State Code Of The Provider KS
Country Code Of The Provider US
Provider Type Of The Provider CRNA
Medicare Participation Indicator Y
Number Of HCPCS 36
Number Of Services 607
Number Of Medicare Beneficiaries 374
Total Submitted Charge Amount 314895
Total Medicare Allowed Amount 90419.33
Total Medicare Payment Amount 70528.63
Total Medicare Standardized Payment Amount 73378.46
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 36
Number Of Medical Services 607
Number Of Medicare Beneficiaries With Medical Services 374
Total Medical Submitted Charge Amount 314895
Total Medical Medicare Allowed Amount 90419.33
Total Medical Medicare Payment Amount 70528.63
Total Medical Medicare Standardized Payment Amount 73378.46
Average Age Of Beneficiaries 71
Number Of Beneficiaries Age Less65 53
Number Of Beneficiaries Age 65 to 74 197
Number Of Beneficiaries Age 75 to 84 101
Number Of Beneficiaries Age Greater 84 23
Number Of Female Beneficiaries 229
Number Of Male Beneficiaries 145
Number Of Non Hispanic White Beneficiaries 356
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 323
Number Of Beneficiaries With Medicare Medicaid Entitlement 51
Percent Of With Atrial Fibrillation 6
Percent Of With Alzheimers Disease or Dementia 6
Percent Of With Asthma 10
Percent Of With Cancer 11
Percent Of With Heart Failure 10
Percent Of With Chronic Kidney Disease 16
Percent Of With Chronic Obstructive Pulmonary Disease 18
Percent Of With Depression 29
Percent Of With Diabetes 31
Percent Of With Hyperlipidemia 53
Percent Of With Hypertension 71
Percent Of With Ischemic Heart Disease 33
Percent Of With Osteoporosis 9
Percent Of With Rheumatoid Arthritis Osteoarthritis 72
Percent Of With Schizophrenia Other PsychoticDisorders
Percent Of With Stroke 5
Average HCC Risk Score Of Beneficiaries 0.9813

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