Medicare Facts for Tanya R. Green, PA


National Provider Identifier [NPI]: 1245279405
Last Name Of The Provider GREEN
First Name Of The Provider TANYA
Middle Initial Of The Provider R
Credentials Of The Provider PA
Gender Of The Provider F
Entity Type Of The Provider I
Street Address 1 Of The Provider 1324 LAKELAND HILLS BLVD
Street Address 2 Of The Provider
City Of The Provider LAKELAND
Zip Code Of The Provider 338054543
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 15
Number Of Services 175
Number Of Medicare Beneficiaries 152
Total Submitted Charge Amount 130436
Total Medicare Allowed Amount 15127.6
Total Medicare Payment Amount 11312.34
Total Medicare Standardized Payment Amount 13677.64
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 15
Number Of Medical Services 175
Number Of Medicare Beneficiaries With Medical Services 152
Total Medical Submitted Charge Amount 130436
Total Medical Medicare Allowed Amount 15127.6
Total Medical Medicare Payment Amount 11312.34
Total Medical Medicare Standardized Payment Amount 13677.64
Average Age Of Beneficiaries 63
Number Of Beneficiaries Age Less65 66
Number Of Beneficiaries Age 65 to 74 45
Number Of Beneficiaries Age 75 to 84 26
Number Of Beneficiaries Age Greater 84 15
Number Of Female Beneficiaries 96
Number Of Male Beneficiaries 56
Number Of Non Hispanic White Beneficiaries 98
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 93
Number Of Beneficiaries With Medicare Medicaid Entitlement 59
Percent Of With Atrial Fibrillation 15
Percent Of With Alzheimers Disease or Dementia 13
Percent Of With Asthma 16
Percent Of With Cancer 10
Percent Of With Heart Failure 28
Percent Of With Chronic Kidney Disease 32
Percent Of With Chronic Obstructive Pulmonary Disease 31
Percent Of With Depression 39
Percent Of With Diabetes 38
Percent Of With Hyperlipidemia 63
Percent Of With Hypertension 75
Percent Of With Ischemic Heart Disease 44
Percent Of With Osteoporosis
Percent Of With Rheumatoid Arthritis Osteoarthritis 53
Percent Of With Schizophrenia Other PsychoticDisorders 12
Percent Of With Stroke
Average HCC Risk Score Of Beneficiaries 1.791

Doctor Directory | TOS | twitter | FB | Angel | blog