Medicare Facts for Shelley A. Day, APRN


National Provider Identifier [NPI]: 1588788830
Last Name Of The Provider DAY
First Name Of The Provider SHELLEY
Middle Initial Of The Provider
Credentials Of The Provider MD
Gender Of The Provider F
Entity Type Of The Provider I
Street Address 1 Of The Provider 801 W 38TH ST
Street Address 2 Of The Provider SUITE 200
City Of The Provider AUSTIN
Zip Code Of The Provider 787051167
State Code Of The Provider TX
Country Code Of The Provider US
Provider Type Of The Provider Ophthalmology
Medicare Participation Indicator Y
Number Of HCPCS 48
Number Of Services 4894
Number Of Medicare Beneficiaries 551
Total Submitted Charge Amount 2354470
Total Medicare Allowed Amount 1050172.46
Total Medicare Payment Amount 793695.47
Total Medicare Standardized Payment Amount 802753.74
Drug Suppress Indicator
Number Of HCPCS Associated With Drug Services 7
Number Of Drug Services 1232
Number Of Medicare Beneficiaries With Drug Services 156
Total Drug Submitted ChargeAmount 1406610
Total Drug Medicare AllowedAmount 686212.3
Total Drug Medicare PaymentAmount 524573.75
Total Drug Medicare Standardized Payment Amount 524573.75
Medical SuppressIndicator
Number Of HCPCS Associated With MedicalServices 41
Number Of Medical Services 3662
Number Of Medicare Beneficiaries With Medical Services 550
Total Medical Submitted Charge Amount 947860
Total Medical Medicare Allowed Amount 363960.16
Total Medical Medicare Payment Amount 269121.72
Total Medical Medicare Standardized Payment Amount 278179.99
Average Age Of Beneficiaries 75
Number Of Beneficiaries Age Less65 48
Number Of Beneficiaries Age 65 to 74 232
Number Of Beneficiaries Age 75 to 84 167
Number Of Beneficiaries Age Greater 84 104
Number Of Female Beneficiaries 331
Number Of Male Beneficiaries 220
Number Of Non Hispanic White Beneficiaries 428
Number Of Black or African American Beneficiaries 28
Number Of AsianPacific Islander Beneficiaries
Number Of Hispanic Beneficiaries 79
Number Of American Indian Alaska Native Beneficiaries
Number Of Beneficiaries With Race Not Else where Classified
Number Of Beneficiaries With Medicare Only Entitlement 466
Number Of Beneficiaries With Medicare Medicaid Entitlement 85
Percent Of With Atrial Fibrillation 11
Percent Of With Alzheimers Disease or Dementia 11
Percent Of With Asthma 6
Percent Of With Cancer 10
Percent Of With Heart Failure 17
Percent Of With Chronic Kidney Disease 24
Percent Of With Chronic Obstructive Pulmonary Disease 10
Percent Of With Depression 21
Percent Of With Diabetes 37
Percent Of With Hyperlipidemia 54
Percent Of With Hypertension 65
Percent Of With Ischemic Heart Disease 36
Percent Of With Osteoporosis 7
Percent Of With Rheumatoid Arthritis Osteoarthritis 36
Percent Of With Schizophrenia Other PsychoticDisorders 4
Percent Of With Stroke 5
Average HCC Risk Score Of Beneficiaries 1.3211

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