Medicare Facts for Constance E. Evans


National Provider Identifier [NPI]: 1346388055
Last Name Of The Provider EVANS
First Name Of The Provider CONSTANCE
Middle Initial Of The Provider
Credentials Of The Provider PT, LAC
Gender Of The Provider F
Entity Type Of The Provider I
Street Address 1 Of The Provider 236 CEDAR ST
Street Address 2 Of The Provider
City Of The Provider ROCKLAND
Zip Code Of The Provider 048412306
State Code Of The Provider ME
Country Code Of The Provider US
Provider Type Of The Provider Physical Therapist
Medicare Participation Indicator Y
Number Of HCPCS 2
Number Of Services 382
Number Of Medicare Beneficiaries 15
Total Submitted Charge Amount 7640
Total Medicare Allowed Amount 7640
Total Medicare Payment Amount 5874.51
Total Medicare Standardized Payment Amount 3076.54
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 2
Number Of Medical Services 382
Number Of Medicare Beneficiaries With Medical Services 15
Total Medical Submitted Charge Amount 7640
Total Medical Medicare Allowed Amount 7640
Total Medical Medicare Payment Amount 5874.51
Total Medical Medicare Standardized Payment Amount 3076.54
Average Age Of Beneficiaries 74
Number Of Beneficiaries Age Less65 0
Number Of Beneficiaries Age 65 to 74
Number Of Beneficiaries Age 75 to 84
Number Of Beneficiaries Age Greater 84
Number Of Female Beneficiaries
Number Of Male Beneficiaries
Number Of Non Hispanic White Beneficiaries 15
Number Of Black or African American Beneficiaries 0
Number Of AsianPacific Islander Beneficiaries 0
Number Of Hispanic Beneficiaries 0
Number Of American Indian Alaska Native Beneficiaries 0
Number Of Beneficiaries With Race Not Else where Classified 0
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 0
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
Percent Of With Diabetes
Percent Of With Hyperlipidemia
Percent Of With Hypertension
Percent Of With Ischemic Heart Disease
Percent Of With Osteoporosis
Percent Of With Rheumatoid Arthritis Osteoarthritis
Percent Of With Schizophrenia Other PsychoticDisorders 0
Percent Of With Stroke 0
Average HCC Risk Score Of Beneficiaries 0.8086

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