National Provider Identifier [NPI]: |
1679532246 |
Last Name Of The Provider |
ABRAHAMSON |
First Name Of The Provider |
APRIL |
Middle Initial Of The Provider |
D |
Credentials Of The Provider |
|
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1690 UNIVERSITY AVE W |
Street Address 2 Of The Provider |
SUITE 570 |
City Of The Provider |
SAINT PAUL |
Zip Code Of The Provider |
551043723 |
State Code Of The Provider |
MN |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Internal Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
88 |
Number Of Services |
3863 |
Number Of Medicare Beneficiaries |
533 |
Total Submitted Charge Amount |
344690.16 |
Total Medicare Allowed Amount |
158361.13 |
Total Medicare Payment Amount |
123070.74 |
Total Medicare Standardized Payment Amount |
124872.93 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
7 |
Number Of Drug Services |
151 |
Number Of Medicare Beneficiaries With Drug Services |
104 |
Total Drug Submitted ChargeAmount |
10133.18 |
Total Drug Medicare AllowedAmount |
8309.04 |
Total Drug Medicare PaymentAmount |
8119.23 |
Total Drug Medicare Standardized Payment Amount |
8119.23 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
81 |
Number Of Medical Services |
3712 |
Number Of Medicare Beneficiaries With Medical Services |
533 |
Total Medical Submitted Charge Amount |
334556.98 |
Total Medical Medicare Allowed Amount |
150052.09 |
Total Medical Medicare Payment Amount |
114951.51 |
Total Medical Medicare Standardized Payment Amount |
116753.7 |
Average Age Of Beneficiaries |
75 |
Number Of Beneficiaries Age Less65 |
76 |
Number Of Beneficiaries Age 65 to 74 |
151 |
Number Of Beneficiaries Age 75 to 84 |
157 |
Number Of Beneficiaries Age Greater 84 |
149 |
Number Of Female Beneficiaries |
374 |
Number Of Male Beneficiaries |
159 |
Number Of Non Hispanic White Beneficiaries |
485 |
Number Of Black or African American Beneficiaries |
18 |
Number Of AsianPacific Islander Beneficiaries |
13 |
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 |
447 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
86 |
Percent Of With Atrial Fibrillation |
16 |
Percent Of With Alzheimers Disease or Dementia |
20 |
Percent Of With Asthma |
9 |
Percent Of With Cancer |
10 |
Percent Of With Heart Failure |
25 |
Percent Of With Chronic Kidney Disease |
26 |
Percent Of With Chronic Obstructive Pulmonary Disease |
16 |
Percent Of With Depression |
26 |
Percent Of With Diabetes |
26 |
Percent Of With Hyperlipidemia |
46 |
Percent Of With Hypertension |
67 |
Percent Of With Ischemic Heart Disease |
33 |
Percent Of With Osteoporosis |
11 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
41 |
Percent Of With Schizophrenia Other PsychoticDisorders |
9 |
Percent Of With Stroke |
8 |
Average HCC Risk Score Of Beneficiaries |
1.5128 |