Medicare Facts for Karen L. Nichols, NP


National Provider Identifier [NPI]: 1154458941
Last Name Of The Provider NICHOLS
First Name Of The Provider KAREN
Middle Initial Of The Provider L
Credentials Of The Provider NP
Gender Of The Provider F
Entity Type Of The Provider I
Street Address 1 Of The Provider 1324 N SHERIDAN RD
Street Address 2 Of The Provider
City Of The Provider WAUKEGAN
Zip Code Of The Provider 600852161
State Code Of The Provider IL
Country Code Of The Provider US
Provider Type Of The Provider Nurse Practitioner
Medicare Participation Indicator Y
Number Of HCPCS 5
Number Of Services 350
Number Of Medicare Beneficiaries 92
Total Submitted Charge Amount 90000
Total Medicare Allowed Amount 32414.53
Total Medicare Payment Amount 25297.01
Total Medicare Standardized Payment Amount 27977.23
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 5
Number Of Medical Services 350
Number Of Medicare Beneficiaries With Medical Services 92
Total Medical Submitted Charge Amount 90000
Total Medical Medicare Allowed Amount 32414.53
Total Medical Medicare Payment Amount 25297.01
Total Medical Medicare Standardized Payment Amount 27977.23
Average Age Of Beneficiaries 76
Number Of Beneficiaries Age Less65
Number Of Beneficiaries Age 65 to 74 25
Number Of Beneficiaries Age 75 to 84 39
Number Of Beneficiaries Age Greater 84
Number Of Female Beneficiaries 58
Number Of Male Beneficiaries 34
Number Of Non Hispanic White Beneficiaries
Number Of Black or African American Beneficiaries 58
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 54
Number Of Beneficiaries With Medicare Medicaid Entitlement 38
Percent Of With Atrial Fibrillation 32
Percent Of With Alzheimers Disease or Dementia 51
Percent Of With Asthma 21
Percent Of With Cancer 15
Percent Of With Heart Failure 71
Percent Of With Chronic Kidney Disease 75
Percent Of With Chronic Obstructive Pulmonary Disease 43
Percent Of With Depression 34
Percent Of With Diabetes 74
Percent Of With Hyperlipidemia 75
Percent Of With Hypertension 75
Percent Of With Ischemic Heart Disease 75
Percent Of With Osteoporosis
Percent Of With Rheumatoid Arthritis Osteoarthritis 75
Percent Of With Schizophrenia Other PsychoticDisorders 18
Percent Of With Stroke 23
Average HCC Risk Score Of Beneficiaries 4.0884

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