| National Provider Identifier [NPI]: | 1487635280 |
| Last Name Of The Provider | ALBRECHT |
| First Name Of The Provider | DOROTHY |
| Middle Initial Of The Provider | K |
| Credentials Of The Provider | FNP |
| Gender Of The Provider | F |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 2480 LIBERTY ST. NE |
| Street Address 2 Of The Provider | 180 |
| City Of The Provider | SALEM |
| Zip Code Of The Provider | 973018388 |
| State Code Of The Provider | OR |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Nurse Practitioner |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 23 |
| Number Of Services | 420 |
| Number Of Medicare Beneficiaries | 46 |
| Total Submitted Charge Amount | 70550 |
| Total Medicare Allowed Amount | 27653.25 |
| Total Medicare Payment Amount | 20665.64 |
| Total Medicare Standardized Payment Amount | 24902.45 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 11 |
| Number Of Drug Services | 81 |
| Number Of Medicare Beneficiaries With Drug Services | 21 |
| Total Drug Submitted ChargeAmount | 3291 |
| Total Drug Medicare AllowedAmount | 1724.54 |
| Total Drug Medicare PaymentAmount | 1671.48 |
| Total Drug Medicare Standardized Payment Amount | 1671.48 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 12 |
| Number Of Medical Services | 339 |
| Number Of Medicare Beneficiaries With Medical Services | 45 |
| Total Medical Submitted Charge Amount | 67259 |
| Total Medical Medicare Allowed Amount | 25928.71 |
| Total Medical Medicare Payment Amount | 18994.16 |
| Total Medical Medicare Standardized Payment Amount | 23230.97 |
| Average Age Of Beneficiaries | 57 |
| Number Of Beneficiaries Age Less65 | 32 |
| 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 | 32 |
| Number Of Black or African American Beneficiaries | |
| Number Of AsianPacific Islander Beneficiaries | 0 |
| Number Of Hispanic Beneficiaries | |
| Number Of American Indian Alaska Native Beneficiaries | 0 |
| 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 | 24 |
| Percent Of With Chronic Obstructive Pulmonary Disease | |
| Percent Of With Depression | 70 |
| Percent Of With Diabetes | 37 |
| Percent Of With Hyperlipidemia | 33 |
| Percent Of With Hypertension | 65 |
| Percent Of With Ischemic Heart Disease | 30 |
| Percent Of With Osteoporosis | |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 59 |
| Percent Of With Schizophrenia Other PsychoticDisorders | |
| Percent Of With Stroke | |
| Average HCC Risk Score Of Beneficiaries | 1.6981 |