Medicare Facts for Tiffany T. Tidwell


National Provider Identifier [NPI]: 1255603932
Last Name Of The Provider TIDWELL
First Name Of The Provider TIFFANY
Middle Initial Of The Provider T
Credentials Of The Provider
Gender Of The Provider F
Entity Type Of The Provider I
Street Address 1 Of The Provider ONE HOSPITAL DRIVE
Street Address 2 Of The Provider
City Of The Provider COLUMBIA
Zip Code Of The Provider 652120001
State Code Of The Provider MO
Country Code Of The Provider US
Provider Type Of The Provider CRNA
Medicare Participation Indicator Y
Number Of HCPCS 27
Number Of Services 139
Number Of Medicare Beneficiaries 133
Total Submitted Charge Amount 159056.57
Total Medicare Allowed Amount 19779.07
Total Medicare Payment Amount 15491.52
Total Medicare Standardized Payment Amount 15906.33
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 27
Number Of Medical Services 139
Number Of Medicare Beneficiaries With Medical Services 133
Total Medical Submitted Charge Amount 159056.57
Total Medical Medicare Allowed Amount 19779.07
Total Medical Medicare Payment Amount 15491.52
Total Medical Medicare Standardized Payment Amount 15906.33
Average Age Of Beneficiaries 64
Number Of Beneficiaries Age Less65 50
Number Of Beneficiaries Age 65 to 74 57
Number Of Beneficiaries Age 75 to 84
Number Of Beneficiaries Age Greater 84
Number Of Female Beneficiaries 81
Number Of Male Beneficiaries 52
Number Of Non Hispanic White Beneficiaries 121
Number Of Black or African American Beneficiaries
Number Of AsianPacific Islander Beneficiaries
Number Of Hispanic Beneficiaries
Number Of American Indian Alaska Native Beneficiaries 0
Number Of Beneficiaries With Race Not Else where Classified
Number Of Beneficiaries With Medicare Only Entitlement 88
Number Of Beneficiaries With Medicare Medicaid Entitlement 45
Percent Of With Atrial Fibrillation 11
Percent Of With Alzheimers Disease or Dementia
Percent Of With Asthma 12
Percent Of With Cancer
Percent Of With Heart Failure 14
Percent Of With Chronic Kidney Disease 23
Percent Of With Chronic Obstructive Pulmonary Disease 17
Percent Of With Depression 50
Percent Of With Diabetes 35
Percent Of With Hyperlipidemia 65
Percent Of With Hypertension 74
Percent Of With Ischemic Heart Disease 30
Percent Of With Osteoporosis 11
Percent Of With Rheumatoid Arthritis Osteoarthritis 75
Percent Of With Schizophrenia Other PsychoticDisorders
Percent Of With Stroke
Average HCC Risk Score Of Beneficiaries 1.2145

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