Medicare Facts for Tracey T. Grappe, PA


National Provider Identifier [NPI]: 1225077282
Last Name Of The Provider GRAPPE
First Name Of The Provider TRACEY
Middle Initial Of The Provider T
Credentials Of The Provider PA
Gender Of The Provider F
Entity Type Of The Provider I
Street Address 1 Of The Provider 508 MEDICAL CENTER BLVD
Street Address 2 Of The Provider
City Of The Provider CONROE
Zip Code Of The Provider 773042808
State Code Of The Provider TX
Country Code Of The Provider US
Provider Type Of The Provider Physician Assistant
Medicare Participation Indicator Y
Number Of HCPCS 16
Number Of Services 109
Number Of Medicare Beneficiaries 51
Total Submitted Charge Amount 13085
Total Medicare Allowed Amount 4861.57
Total Medicare Payment Amount 3741.62
Total Medicare Standardized Payment Amount 4624.04
Drug Suppress Indicator
Number Of HCPCS Associated With Drug Services 5
Number Of Drug Services 24
Number Of Medicare Beneficiaries With Drug Services 13
Total Drug Submitted ChargeAmount 410
Total Drug Medicare AllowedAmount 148.39
Total Drug Medicare PaymentAmount 129.38
Total Drug Medicare Standardized Payment Amount 129.38
Medical SuppressIndicator
Number Of HCPCS Associated With MedicalServices 11
Number Of Medical Services 85
Number Of Medicare Beneficiaries With Medical Services 51
Total Medical Submitted Charge Amount 12675
Total Medical Medicare Allowed Amount 4713.18
Total Medical Medicare Payment Amount 3612.24
Total Medical Medicare Standardized Payment Amount 4494.66
Average Age Of Beneficiaries 71
Number Of Beneficiaries Age Less65
Number Of Beneficiaries Age 65 to 74 28
Number Of Beneficiaries Age 75 to 84 12
Number Of Beneficiaries Age Greater 84
Number Of Female Beneficiaries 33
Number Of Male Beneficiaries 18
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
Percent Of With Chronic Obstructive Pulmonary Disease
Percent Of With Depression 37
Percent Of With Diabetes 24
Percent Of With Hyperlipidemia 61
Percent Of With Hypertension 63
Percent Of With Ischemic Heart Disease
Percent Of With Osteoporosis
Percent Of With Rheumatoid Arthritis Osteoarthritis 47
Percent Of With Schizophrenia Other PsychoticDisorders
Percent Of With Stroke 0
Average HCC Risk Score Of Beneficiaries 0.8615

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