Medicare Facts for Tate J. Hansen, PA-C


National Provider Identifier [NPI]: 1982944617
Last Name Of The Provider HANSEN
First Name Of The Provider TATE
Middle Initial Of The Provider J
Credentials Of The Provider PA-C
Gender Of The Provider M
Entity Type Of The Provider I
Street Address 1 Of The Provider 520 S EAGLE RD
Street Address 2 Of The Provider STE 1222
City Of The Provider MERIDIAN
Zip Code Of The Provider 836426351
State Code Of The Provider ID
Country Code Of The Provider US
Provider Type Of The Provider Physician Assistant
Medicare Participation Indicator Y
Number Of HCPCS 18
Number Of Services 459
Number Of Medicare Beneficiaries 366
Total Submitted Charge Amount 28390.51
Total Medicare Allowed Amount 21127.9
Total Medicare Payment Amount 13616.63
Total Medicare Standardized Payment Amount 18315.25
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 73
Number Of Beneficiaries Age Less65 54
Number Of Beneficiaries Age 65 to 74 137
Number Of Beneficiaries Age 75 to 84 117
Number Of Beneficiaries Age Greater 84 58
Number Of Female Beneficiaries 212
Number Of Male Beneficiaries 154
Number Of Non Hispanic White Beneficiaries 323
Number Of Black or African American Beneficiaries
Number Of AsianPacific Islander Beneficiaries
Number Of Hispanic Beneficiaries 23
Number Of American Indian Alaska Native Beneficiaries
Number Of Beneficiaries With Race Not Else where Classified
Number Of Beneficiaries With Medicare Only Entitlement 293
Number Of Beneficiaries With Medicare Medicaid Entitlement 73
Percent Of With Atrial Fibrillation 8
Percent Of With Alzheimers Disease or Dementia 8
Percent Of With Asthma 7
Percent Of With Cancer 11
Percent Of With Heart Failure 13
Percent Of With Chronic Kidney Disease 14
Percent Of With Chronic Obstructive Pulmonary Disease 17
Percent Of With Depression 25
Percent Of With Diabetes 22
Percent Of With Hyperlipidemia 38
Percent Of With Hypertension 60
Percent Of With Ischemic Heart Disease 25
Percent Of With Osteoporosis 9
Percent Of With Rheumatoid Arthritis Osteoarthritis 39
Percent Of With Schizophrenia Other PsychoticDisorders 4
Percent Of With Stroke
Average HCC Risk Score Of Beneficiaries 0.955

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