Medicare Facts for Tina A. Olson, LICSW


National Provider Identifier [NPI]: 1669576310
Last Name Of The Provider OLSON
First Name Of The Provider TINA
Middle Initial Of The Provider
Credentials Of The Provider CRNP
Gender Of The Provider F
Entity Type Of The Provider I
Street Address 1 Of The Provider 28138 N TATUM BLVD
Street Address 2 Of The Provider
City Of The Provider CAVE CREEK
Zip Code Of The Provider 853316303
State Code Of The Provider AZ
Country Code Of The Provider US
Provider Type Of The Provider Nurse Practitioner
Medicare Participation Indicator Y
Number Of HCPCS 14
Number Of Services 209
Number Of Medicare Beneficiaries 133
Total Submitted Charge Amount 11473.59
Total Medicare Allowed Amount 10170.5
Total Medicare Payment Amount 5899.47
Total Medicare Standardized Payment Amount 7395.7
Drug Suppress Indicator
Number Of HCPCS Associated With Drug Services 4
Number Of Drug Services 41
Number Of Medicare Beneficiaries With Drug Services 40
Total Drug Submitted ChargeAmount 1235.59
Total Drug Medicare AllowedAmount 1235.59
Total Drug Medicare PaymentAmount 1210.87
Total Drug Medicare Standardized Payment Amount 1210.87
Medical SuppressIndicator
Number Of HCPCS Associated With MedicalServices 10
Number Of Medical Services 168
Number Of Medicare Beneficiaries With Medical Services 133
Total Medical Submitted Charge Amount 10238
Total Medical Medicare Allowed Amount 8934.91
Total Medical Medicare Payment Amount 4688.6
Total Medical Medicare Standardized Payment Amount 6184.83
Average Age Of Beneficiaries 71
Number Of Beneficiaries Age Less65
Number Of Beneficiaries Age 65 to 74 98
Number Of Beneficiaries Age 75 to 84
Number Of Beneficiaries Age Greater 84
Number Of Female Beneficiaries 80
Number Of Male Beneficiaries 53
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
Number Of Beneficiaries With Medicare Medicaid Entitlement
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 11
Percent Of With Chronic Obstructive Pulmonary Disease
Percent Of With Depression 14
Percent Of With Diabetes 12
Percent Of With Hyperlipidemia 42
Percent Of With Hypertension 43
Percent Of With Ischemic Heart Disease 13
Percent Of With Osteoporosis
Percent Of With Rheumatoid Arthritis Osteoarthritis 27
Percent Of With Schizophrenia Other PsychoticDisorders 0
Percent Of With Stroke
Average HCC Risk Score Of Beneficiaries 0.5973

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