Medicare Facts for Tessa M. Farr, MSW


National Provider Identifier [NPI]: 1003134933
Last Name Of The Provider FARR
First Name Of The Provider TESSA
Middle Initial Of The Provider J
Credentials Of The Provider REGISTERED DIETITIAN
Gender Of The Provider F
Entity Type Of The Provider I
Street Address 1 Of The Provider 910 W 5TH AVE STE 800
Street Address 2 Of The Provider
City Of The Provider SPOKANE
Zip Code Of The Provider 992042912
State Code Of The Provider WA
Country Code Of The Provider US
Provider Type Of The Provider Registered Dietician/Nutrition Professional
Medicare Participation Indicator Y
Number Of HCPCS 2
Number Of Services 131
Number Of Medicare Beneficiaries 37
Total Submitted Charge Amount 6920
Total Medicare Allowed Amount 3729.44
Total Medicare Payment Amount 3654.85
Total Medicare Standardized Payment Amount 1311.39
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 2
Number Of Medical Services 131
Number Of Medicare Beneficiaries With Medical Services 37
Total Medical Submitted Charge Amount 6920
Total Medical Medicare Allowed Amount 3729.44
Total Medical Medicare Payment Amount 3654.85
Total Medical Medicare Standardized Payment Amount 1311.39
Average Age Of Beneficiaries 56
Number Of Beneficiaries Age Less65 26
Number Of Beneficiaries Age 65 to 74 11
Number Of Beneficiaries Age 75 to 84 0
Number Of Beneficiaries Age Greater 84 0
Number Of Female Beneficiaries 21
Number Of Male Beneficiaries 16
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 22
Number Of Beneficiaries With Medicare Medicaid Entitlement 15
Percent Of With Atrial Fibrillation 0
Percent Of With Alzheimers Disease or Dementia 0
Percent Of With Asthma
Percent Of With Cancer 0
Percent Of With Heart Failure
Percent Of With Chronic Kidney Disease 30
Percent Of With Chronic Obstructive Pulmonary Disease
Percent Of With Depression 41
Percent Of With Diabetes 62
Percent Of With Hyperlipidemia 68
Percent Of With Hypertension 75
Percent Of With Ischemic Heart Disease
Percent Of With Osteoporosis 0
Percent Of With Rheumatoid Arthritis Osteoarthritis 54
Percent Of With Schizophrenia Other PsychoticDisorders 0
Percent Of With Stroke 0
Average HCC Risk Score Of Beneficiaries 1.1403

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