Medicare Facts for Karen C. Held, CRNP


National Provider Identifier [NPI]: 1629351176
Last Name Of The Provider HELD
First Name Of The Provider KAREN
Middle Initial Of The Provider C
Credentials Of The Provider CRNP
Gender Of The Provider F
Entity Type Of The Provider I
Street Address 1 Of The Provider 1575 BANNISTER ST
Street Address 2 Of The Provider SUITE 1
City Of The Provider YORK
Zip Code Of The Provider 174044946
State Code Of The Provider PA
Country Code Of The Provider US
Provider Type Of The Provider Nurse Practitioner
Medicare Participation Indicator Y
Number Of HCPCS 33
Number Of Services 613
Number Of Medicare Beneficiaries 169
Total Submitted Charge Amount 59321
Total Medicare Allowed Amount 41768.96
Total Medicare Payment Amount 30553.35
Total Medicare Standardized Payment Amount 37292.7
Drug Suppress Indicator
Number Of HCPCS Associated With Drug Services 10
Number Of Drug Services 74
Number Of Medicare Beneficiaries With Drug Services 51
Total Drug Submitted ChargeAmount 3680
Total Drug Medicare AllowedAmount 3178.65
Total Drug Medicare PaymentAmount 3105.12
Total Drug Medicare Standardized Payment Amount 3105.12
Medical SuppressIndicator
Number Of HCPCS Associated With MedicalServices 23
Number Of Medical Services 539
Number Of Medicare Beneficiaries With Medical Services 169
Total Medical Submitted Charge Amount 55641
Total Medical Medicare Allowed Amount 38590.31
Total Medical Medicare Payment Amount 27448.23
Total Medical Medicare Standardized Payment Amount 34187.58
Average Age Of Beneficiaries 69
Number Of Beneficiaries Age Less65 52
Number Of Beneficiaries Age 65 to 74 53
Number Of Beneficiaries Age 75 to 84 42
Number Of Beneficiaries Age Greater 84 22
Number Of Female Beneficiaries 101
Number Of Male Beneficiaries 68
Number Of Non Hispanic White Beneficiaries 143
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 115
Number Of Beneficiaries With Medicare Medicaid Entitlement 54
Percent Of With Atrial Fibrillation 11
Percent Of With Alzheimers Disease or Dementia 11
Percent Of With Asthma 7
Percent Of With Cancer 12
Percent Of With Heart Failure 21
Percent Of With Chronic Kidney Disease 28
Percent Of With Chronic Obstructive Pulmonary Disease 19
Percent Of With Depression 30
Percent Of With Diabetes 43
Percent Of With Hyperlipidemia 70
Percent Of With Hypertension 75
Percent Of With Ischemic Heart Disease 30
Percent Of With Osteoporosis 7
Percent Of With Rheumatoid Arthritis Osteoarthritis 35
Percent Of With Schizophrenia Other PsychoticDisorders 7
Percent Of With Stroke
Average HCC Risk Score Of Beneficiaries 1.3902

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