Medicare Facts for Terrance N. Tanner, LCSW


National Provider Identifier [NPI]: 1477552313
Last Name Of The Provider TANNER
First Name Of The Provider TERRANCE
Middle Initial Of The Provider N
Credentials Of The Provider LCSW
Gender Of The Provider M
Entity Type Of The Provider I
Street Address 1 Of The Provider 1506 OSOLO RD
Street Address 2 Of The Provider SUITE A
City Of The Provider ELKHART
Zip Code Of The Provider 465144122
State Code Of The Provider IN
Country Code Of The Provider US
Provider Type Of The Provider Licensed Clinical Social Worker
Medicare Participation Indicator Y
Number Of HCPCS 5
Number Of Services 635
Number Of Medicare Beneficiaries 48
Total Submitted Charge Amount 93194
Total Medicare Allowed Amount 42046.92
Total Medicare Payment Amount 32691.11
Total Medicare Standardized Payment Amount 33515.51
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 5
Number Of Medical Services 635
Number Of Medicare Beneficiaries With Medical Services 48
Total Medical Submitted Charge Amount 93194
Total Medical Medicare Allowed Amount 42046.92
Total Medical Medicare Payment Amount 32691.11
Total Medical Medicare Standardized Payment Amount 33515.51
Average Age Of Beneficiaries 62
Number Of Beneficiaries Age Less65 26
Number Of Beneficiaries Age 65 to 74
Number Of Beneficiaries Age 75 to 84
Number Of Beneficiaries Age Greater 84
Number Of Female Beneficiaries 31
Number Of Male Beneficiaries 17
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 24
Number Of Beneficiaries With Medicare Medicaid Entitlement 24
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 27
Percent Of With Chronic Obstructive Pulmonary Disease 25
Percent Of With Depression 75
Percent Of With Diabetes 27
Percent Of With Hyperlipidemia 58
Percent Of With Hypertension 54
Percent Of With Ischemic Heart Disease 33
Percent Of With Osteoporosis
Percent Of With Rheumatoid Arthritis Osteoarthritis 42
Percent Of With Schizophrenia Other PsychoticDisorders
Percent Of With Stroke
Average HCC Risk Score Of Beneficiaries 1.7601

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