Medicare Facts for Nicole B. Earley, PA


National Provider Identifier [NPI]: 1598702102
Last Name Of The Provider EARLEY
First Name Of The Provider NICOLE
Middle Initial Of The Provider B
Credentials Of The Provider PA
Gender Of The Provider F
Entity Type Of The Provider I
Street Address 1 Of The Provider 103 SOLANA ROAD SUITE B
Street Address 2 Of The Provider
City Of The Provider PONTE VEDRA BEACH
Zip Code Of The Provider 32082
State Code Of The Provider FL
Country Code Of The Provider US
Provider Type Of The Provider Physician Assistant
Medicare Participation Indicator Y
Number Of HCPCS 33
Number Of Services 2123
Number Of Medicare Beneficiaries 536
Total Submitted Charge Amount 165419.75
Total Medicare Allowed Amount 98937.23
Total Medicare Payment Amount 68379.73
Total Medicare Standardized Payment Amount 81126.93
Drug Suppress Indicator *
Number Of HCPCS Associated With Drug Services
Number Of Drug Services
Number Of Medicare Beneficiaries With Drug Services
Total Drug Submitted ChargeAmount
Total Drug Medicare AllowedAmount
Total Drug Medicare PaymentAmount
Total Drug Medicare Standardized Payment Amount
Medical SuppressIndicator #
Number Of HCPCS Associated With MedicalServices
Number Of Medical Services
Number Of Medicare Beneficiaries With Medical Services
Total Medical Submitted Charge Amount
Total Medical Medicare Allowed Amount
Total Medical Medicare Payment Amount
Total Medical Medicare Standardized Payment Amount
Average Age Of Beneficiaries 74
Number Of Beneficiaries Age Less65 28
Number Of Beneficiaries Age 65 to 74 305
Number Of Beneficiaries Age 75 to 84 134
Number Of Beneficiaries Age Greater 84 69
Number Of Female Beneficiaries 293
Number Of Male Beneficiaries 243
Number Of Non Hispanic White Beneficiaries 523
Number Of Black or African American Beneficiaries
Number Of AsianPacific Islander Beneficiaries 0
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 524
Number Of Beneficiaries With Medicare Medicaid Entitlement 12
Percent Of With Atrial Fibrillation 10
Percent Of With Alzheimers Disease or Dementia 5
Percent Of With Asthma 4
Percent Of With Cancer 12
Percent Of With Heart Failure 9
Percent Of With Chronic Kidney Disease 13
Percent Of With Chronic Obstructive Pulmonary Disease 9
Percent Of With Depression 13
Percent Of With Diabetes 19
Percent Of With Hyperlipidemia 63
Percent Of With Hypertension 66
Percent Of With Ischemic Heart Disease 30
Percent Of With Osteoporosis 4
Percent Of With Rheumatoid Arthritis Osteoarthritis 38
Percent Of With Schizophrenia Other PsychoticDisorders
Percent Of With Stroke 5
Average HCC Risk Score Of Beneficiaries 0.8935

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