Medicare Facts for Lisa D. Brengola, NP


National Provider Identifier [NPI]: 1841289212
Last Name Of The Provider BRENGOLA
First Name Of The Provider LISA
Middle Initial Of The Provider D
Credentials Of The Provider NP
Gender Of The Provider F
Entity Type Of The Provider I
Street Address 1 Of The Provider 425 REVERE ST
Street Address 2 Of The Provider
City Of The Provider REVERE
Zip Code Of The Provider 021514543
State Code Of The Provider MA
Country Code Of The Provider US
Provider Type Of The Provider Nurse Practitioner
Medicare Participation Indicator Y
Number Of HCPCS 20
Number Of Services 448
Number Of Medicare Beneficiaries 138
Total Submitted Charge Amount 94300
Total Medicare Allowed Amount 25627.95
Total Medicare Payment Amount 16940.02
Total Medicare Standardized Payment Amount 18881.2
Drug Suppress Indicator
Number Of HCPCS Associated With Drug Services 4
Number Of Drug Services 21
Number Of Medicare Beneficiaries With Drug Services 19
Total Drug Submitted ChargeAmount 1010
Total Drug Medicare AllowedAmount 635.22
Total Drug Medicare PaymentAmount 621.68
Total Drug Medicare Standardized Payment Amount 621.68
Medical SuppressIndicator
Number Of HCPCS Associated With MedicalServices 16
Number Of Medical Services 427
Number Of Medicare Beneficiaries With Medical Services 138
Total Medical Submitted Charge Amount 93290
Total Medical Medicare Allowed Amount 24992.73
Total Medical Medicare Payment Amount 16318.34
Total Medical Medicare Standardized Payment Amount 18259.52
Average Age Of Beneficiaries 72
Number Of Beneficiaries Age Less65 28
Number Of Beneficiaries Age 65 to 74 49
Number Of Beneficiaries Age 75 to 84 39
Number Of Beneficiaries Age Greater 84 22
Number Of Female Beneficiaries 86
Number Of Male Beneficiaries 52
Number Of Non Hispanic White Beneficiaries
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 106
Number Of Beneficiaries With Medicare Medicaid Entitlement 32
Percent Of With Atrial Fibrillation
Percent Of With Alzheimers Disease or Dementia
Percent Of With Asthma
Percent Of With Cancer 12
Percent Of With Heart Failure
Percent Of With Chronic Kidney Disease 17
Percent Of With Chronic Obstructive Pulmonary Disease
Percent Of With Depression 22
Percent Of With Diabetes 22
Percent Of With Hyperlipidemia 56
Percent Of With Hypertension 65
Percent Of With Ischemic Heart Disease 18
Percent Of With Osteoporosis
Percent Of With Rheumatoid Arthritis Osteoarthritis 21
Percent Of With Schizophrenia Other PsychoticDisorders
Percent Of With Stroke
Average HCC Risk Score Of Beneficiaries 0.9131

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