Medicare Facts for Tracy L. Estrellado, PA-C


National Provider Identifier [NPI]: 1083645733
Last Name Of The Provider ESTRELLADO
First Name Of The Provider TRACY
Middle Initial Of The Provider L
Credentials Of The Provider PA-C
Gender Of The Provider F
Entity Type Of The Provider I
Street Address 1 Of The Provider 840 E HILL AVE
Street Address 2 Of The Provider
City Of The Provider MOSES LAKE
Zip Code Of The Provider 988372238
State Code Of The Provider WA
Country Code Of The Provider US
Provider Type Of The Provider Physician Assistant
Medicare Participation Indicator Y
Number Of HCPCS 40
Number Of Services 3510
Number Of Medicare Beneficiaries 370
Total Submitted Charge Amount 366778.58
Total Medicare Allowed Amount 118434.59
Total Medicare Payment Amount 84253.76
Total Medicare Standardized Payment Amount 94562.19
Drug Suppress Indicator
Number Of HCPCS Associated With Drug Services 5
Number Of Drug Services 2309
Number Of Medicare Beneficiaries With Drug Services 198
Total Drug Submitted ChargeAmount 71368.08
Total Drug Medicare AllowedAmount 20124.09
Total Drug Medicare PaymentAmount 14347.03
Total Drug Medicare Standardized Payment Amount 14347.03
Medical SuppressIndicator
Number Of HCPCS Associated With MedicalServices 35
Number Of Medical Services 1201
Number Of Medicare Beneficiaries With Medical Services 370
Total Medical Submitted Charge Amount 295410.5
Total Medical Medicare Allowed Amount 98310.5
Total Medical Medicare Payment Amount 69906.73
Total Medical Medicare Standardized Payment Amount 80215.16
Average Age Of Beneficiaries 72
Number Of Beneficiaries Age Less65 63
Number Of Beneficiaries Age 65 to 74 155
Number Of Beneficiaries Age 75 to 84 100
Number Of Beneficiaries Age Greater 84 52
Number Of Female Beneficiaries 241
Number Of Male Beneficiaries 129
Number Of Non Hispanic White Beneficiaries 311
Number Of Black or African American Beneficiaries
Number Of AsianPacific Islander Beneficiaries
Number Of Hispanic Beneficiaries 41
Number Of American Indian Alaska Native Beneficiaries
Number Of Beneficiaries With Race Not Else where Classified
Number Of Beneficiaries With Medicare Only Entitlement 281
Number Of Beneficiaries With Medicare Medicaid Entitlement 89
Percent Of With Atrial Fibrillation 9
Percent Of With Alzheimers Disease or Dementia 8
Percent Of With Asthma 7
Percent Of With Cancer 8
Percent Of With Heart Failure 15
Percent Of With Chronic Kidney Disease 23
Percent Of With Chronic Obstructive Pulmonary Disease 16
Percent Of With Depression 23
Percent Of With Diabetes 39
Percent Of With Hyperlipidemia 58
Percent Of With Hypertension 75
Percent Of With Ischemic Heart Disease 31
Percent Of With Osteoporosis 6
Percent Of With Rheumatoid Arthritis Osteoarthritis 75
Percent Of With Schizophrenia Other PsychoticDisorders
Percent Of With Stroke
Average HCC Risk Score Of Beneficiaries 1.0877

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