Medicare Facts for Kelly M. Logli, APN


National Provider Identifier [NPI]: 1730404419
Last Name Of The Provider LOGLI
First Name Of The Provider KELLY
Middle Initial Of The Provider M
Credentials Of The Provider APN
Gender Of The Provider F
Entity Type Of The Provider I
Street Address 1 Of The Provider 1253 N ALPINE RD
Street Address 2 Of The Provider
City Of The Provider ROCKFORD
Zip Code Of The Provider 611072201
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 6
Number Of Services 545
Number Of Medicare Beneficiaries 109
Total Submitted Charge Amount 50251
Total Medicare Allowed Amount 19665.38
Total Medicare Payment Amount 14736.1
Total Medicare Standardized Payment Amount 19082.6
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 6
Number Of Medical Services 545
Number Of Medicare Beneficiaries With Medical Services 109
Total Medical Submitted Charge Amount 50251
Total Medical Medicare Allowed Amount 19665.38
Total Medical Medicare Payment Amount 14736.1
Total Medical Medicare Standardized Payment Amount 19082.6
Average Age Of Beneficiaries 67
Number Of Beneficiaries Age Less65 36
Number Of Beneficiaries Age 65 to 74 51
Number Of Beneficiaries Age 75 to 84
Number Of Beneficiaries Age Greater 84
Number Of Female Beneficiaries 58
Number Of Male Beneficiaries 51
Number Of Non Hispanic White Beneficiaries 89
Number Of Black or African American Beneficiaries
Number Of AsianPacific Islander Beneficiaries
Number Of Hispanic Beneficiaries
Number Of American Indian Alaska Native Beneficiaries 0
Number Of Beneficiaries With Race Not Else where Classified 0
Number Of Beneficiaries With Medicare Only Entitlement 78
Number Of Beneficiaries With Medicare Medicaid Entitlement 31
Percent Of With Atrial Fibrillation
Percent Of With Alzheimers Disease or Dementia
Percent Of With Asthma
Percent Of With Cancer
Percent Of With Heart Failure 23
Percent Of With Chronic Kidney Disease 50
Percent Of With Chronic Obstructive Pulmonary Disease 12
Percent Of With Depression 27
Percent Of With Diabetes 75
Percent Of With Hyperlipidemia 75
Percent Of With Hypertension 74
Percent Of With Ischemic Heart Disease 42
Percent Of With Osteoporosis
Percent Of With Rheumatoid Arthritis Osteoarthritis 40
Percent Of With Schizophrenia Other PsychoticDisorders
Percent Of With Stroke
Average HCC Risk Score Of Beneficiaries 1.5273

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