Medicare Facts for Kathleen M. Mariani, PA


National Provider Identifier [NPI]: 1922170265
Last Name Of The Provider MARIANI
First Name Of The Provider KATHLEEN
Middle Initial Of The Provider M
Credentials Of The Provider P.A.
Gender Of The Provider F
Entity Type Of The Provider I
Street Address 1 Of The Provider 431 W LIBERTY ST
Street Address 2 Of The Provider
City Of The Provider WAUCONDA
Zip Code Of The Provider 600842452
State Code Of The Provider IL
Country Code Of The Provider US
Provider Type Of The Provider Physician Assistant
Medicare Participation Indicator Y
Number Of HCPCS 30
Number Of Services 901
Number Of Medicare Beneficiaries 227
Total Submitted Charge Amount 109810.86
Total Medicare Allowed Amount 50595.14
Total Medicare Payment Amount 35857.25
Total Medicare Standardized Payment Amount 41349.82
Drug Suppress Indicator
Number Of HCPCS Associated With Drug Services 5
Number Of Drug Services 19
Number Of Medicare Beneficiaries With Drug Services 16
Total Drug Submitted ChargeAmount 1586
Total Drug Medicare AllowedAmount 624.72
Total Drug Medicare PaymentAmount 608.3
Total Drug Medicare Standardized Payment Amount 608.3
Medical SuppressIndicator
Number Of HCPCS Associated With MedicalServices 25
Number Of Medical Services 882
Number Of Medicare Beneficiaries With Medical Services 227
Total Medical Submitted Charge Amount 108224.86
Total Medical Medicare Allowed Amount 49970.42
Total Medical Medicare Payment Amount 35248.95
Total Medical Medicare Standardized Payment Amount 40741.52
Average Age Of Beneficiaries 60
Number Of Beneficiaries Age Less65 123
Number Of Beneficiaries Age 65 to 74 74
Number Of Beneficiaries Age 75 to 84
Number Of Beneficiaries Age Greater 84
Number Of Female Beneficiaries 132
Number Of Male Beneficiaries 95
Number Of Non Hispanic White Beneficiaries 154
Number Of Black or African American Beneficiaries 12
Number Of AsianPacific Islander Beneficiaries
Number Of Hispanic Beneficiaries 47
Number Of American Indian Alaska Native Beneficiaries
Number Of Beneficiaries With Race Not Else where Classified
Number Of Beneficiaries With Medicare Only Entitlement 80
Number Of Beneficiaries With Medicare Medicaid Entitlement 147
Percent Of With Atrial Fibrillation 9
Percent Of With Alzheimers Disease or Dementia 6
Percent Of With Asthma 12
Percent Of With Cancer
Percent Of With Heart Failure 22
Percent Of With Chronic Kidney Disease 22
Percent Of With Chronic Obstructive Pulmonary Disease 23
Percent Of With Depression 37
Percent Of With Diabetes 45
Percent Of With Hyperlipidemia 52
Percent Of With Hypertension 68
Percent Of With Ischemic Heart Disease 31
Percent Of With Osteoporosis
Percent Of With Rheumatoid Arthritis Osteoarthritis 39
Percent Of With Schizophrenia Other PsychoticDisorders 6
Percent Of With Stroke
Average HCC Risk Score Of Beneficiaries 1.456

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