Medicare Facts for Clarissa L. Dumdei


National Provider Identifier [NPI]: 1881988624
Last Name Of The Provider DUMDEI
First Name Of The Provider CLARISSA
Middle Initial Of The Provider L
Credentials Of The Provider
Gender Of The Provider F
Entity Type Of The Provider I
Street Address 1 Of The Provider 1027 WASHINGTON AVE
Street Address 2 Of The Provider
City Of The Provider DETROIT LAKES
Zip Code Of The Provider 565013409
State Code Of The Provider MN
Country Code Of The Provider US
Provider Type Of The Provider Nurse Practitioner
Medicare Participation Indicator Y
Number Of HCPCS 13
Number Of Services 694
Number Of Medicare Beneficiaries 186
Total Submitted Charge Amount 152348
Total Medicare Allowed Amount 63056.85
Total Medicare Payment Amount 45792.91
Total Medicare Standardized Payment Amount 56909.9
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 13
Number Of Medical Services 694
Number Of Medicare Beneficiaries With Medical Services 186
Total Medical Submitted Charge Amount 152348
Total Medical Medicare Allowed Amount 63056.85
Total Medical Medicare Payment Amount 45792.91
Total Medical Medicare Standardized Payment Amount 56909.9
Average Age Of Beneficiaries 83
Number Of Beneficiaries Age Less65 17
Number Of Beneficiaries Age 65 to 74 16
Number Of Beneficiaries Age 75 to 84 50
Number Of Beneficiaries Age Greater 84 103
Number Of Female Beneficiaries 128
Number Of Male Beneficiaries 58
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 113
Number Of Beneficiaries With Medicare Medicaid Entitlement 73
Percent Of With Atrial Fibrillation 18
Percent Of With Alzheimers Disease or Dementia 58
Percent Of With Asthma 8
Percent Of With Cancer 7
Percent Of With Heart Failure 36
Percent Of With Chronic Kidney Disease 44
Percent Of With Chronic Obstructive Pulmonary Disease 18
Percent Of With Depression 46
Percent Of With Diabetes 31
Percent Of With Hyperlipidemia 42
Percent Of With Hypertension 74
Percent Of With Ischemic Heart Disease 44
Percent Of With Osteoporosis 18
Percent Of With Rheumatoid Arthritis Osteoarthritis 51
Percent Of With Schizophrenia Other PsychoticDisorders 16
Percent Of With Stroke 6
Average HCC Risk Score Of Beneficiaries 1.9004

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