Medicare Facts for Emily Y. Moore


National Provider Identifier [NPI]: 1235563230
Last Name Of The Provider MOORE
First Name Of The Provider EMILY
Middle Initial Of The Provider Y
Credentials Of The Provider
Gender Of The Provider F
Entity Type Of The Provider I
Street Address 1 Of The Provider 100 HOSPITAL DR
Street Address 2 Of The Provider
City Of The Provider BENNINGTON
Zip Code Of The Provider 052015004
State Code Of The Provider VT
Country Code Of The Provider US
Provider Type Of The Provider Anesthesiologist Assistants
Medicare Participation Indicator Y
Number Of HCPCS 32
Number Of Services 71
Number Of Medicare Beneficiaries 70
Total Submitted Charge Amount 60087.1
Total Medicare Allowed Amount 10045.58
Total Medicare Payment Amount 7875.73
Total Medicare Standardized Payment Amount 7891.78
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 32
Number Of Medical Services 71
Number Of Medicare Beneficiaries With Medical Services 70
Total Medical Submitted Charge Amount 60087.1
Total Medical Medicare Allowed Amount 10045.58
Total Medical Medicare Payment Amount 7875.73
Total Medical Medicare Standardized Payment Amount 7891.78
Average Age Of Beneficiaries 66
Number Of Beneficiaries Age Less65 29
Number Of Beneficiaries Age 65 to 74 19
Number Of Beneficiaries Age 75 to 84
Number Of Beneficiaries Age Greater 84
Number Of Female Beneficiaries 44
Number Of Male Beneficiaries 26
Number Of Non Hispanic White Beneficiaries
Number Of Black or African American Beneficiaries 43
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 27
Number Of Beneficiaries With Medicare Medicaid Entitlement 43
Percent Of With Atrial Fibrillation
Percent Of With Alzheimers Disease or Dementia 29
Percent Of With Asthma 16
Percent Of With Cancer
Percent Of With Heart Failure 41
Percent Of With Chronic Kidney Disease 47
Percent Of With Chronic Obstructive Pulmonary Disease 36
Percent Of With Depression 36
Percent Of With Diabetes 50
Percent Of With Hyperlipidemia 57
Percent Of With Hypertension 75
Percent Of With Ischemic Heart Disease 39
Percent Of With Osteoporosis
Percent Of With Rheumatoid Arthritis Osteoarthritis 39
Percent Of With Schizophrenia Other PsychoticDisorders 20
Percent Of With Stroke 19
Average HCC Risk Score Of Beneficiaries 2.9397

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