Medicare Facts for Susan L. Ralph, NP


National Provider Identifier [NPI]: 1629334651
Last Name Of The Provider RALPH
First Name Of The Provider SUSAN
Middle Initial Of The Provider L
Credentials Of The Provider NP
Gender Of The Provider F
Entity Type Of The Provider I
Street Address 1 Of The Provider 14 S BALTIC PL
Street Address 2 Of The Provider SUITE 106
City Of The Provider MERIDIAN
Zip Code Of The Provider 836425935
State Code Of The Provider ID
Country Code Of The Provider US
Provider Type Of The Provider Nurse Practitioner
Medicare Participation Indicator Y
Number Of HCPCS 17
Number Of Services 728
Number Of Medicare Beneficiaries 58
Total Submitted Charge Amount 157518
Total Medicare Allowed Amount 44324.63
Total Medicare Payment Amount 34157.32
Total Medicare Standardized Payment Amount 41442.54
Drug Suppress Indicator
Number Of HCPCS Associated With Drug Services 2
Number Of Drug Services 125
Number Of Medicare Beneficiaries With Drug Services 29
Total Drug Submitted ChargeAmount 12510
Total Drug Medicare AllowedAmount 10755
Total Drug Medicare PaymentAmount 8328.92
Total Drug Medicare Standardized Payment Amount 8328.92
Medical SuppressIndicator
Number Of HCPCS Associated With MedicalServices 15
Number Of Medical Services 603
Number Of Medicare Beneficiaries With Medical Services 58
Total Medical Submitted Charge Amount 145008
Total Medical Medicare Allowed Amount 33569.63
Total Medical Medicare Payment Amount 25828.4
Total Medical Medicare Standardized Payment Amount 33113.62
Average Age Of Beneficiaries 74
Number Of Beneficiaries Age Less65
Number Of Beneficiaries Age 65 to 74 30
Number Of Beneficiaries Age 75 to 84 16
Number Of Beneficiaries Age Greater 84
Number Of Female Beneficiaries 29
Number Of Male Beneficiaries 29
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
Number Of Beneficiaries With Medicare Medicaid Entitlement
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
Percent Of With Chronic Obstructive Pulmonary Disease
Percent Of With Depression
Percent Of With Diabetes 28
Percent Of With Hyperlipidemia 40
Percent Of With Hypertension 47
Percent Of With Ischemic Heart Disease 29
Percent Of With Osteoporosis
Percent Of With Rheumatoid Arthritis Osteoarthritis 75
Percent Of With Schizophrenia Other PsychoticDisorders 0
Percent Of With Stroke 0
Average HCC Risk Score Of Beneficiaries 0.8217

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