Medicare Facts for Melissa N. Toulios, APN


National Provider Identifier [NPI]: 1912207036
Last Name Of The Provider TOULIOS
First Name Of The Provider MELISSA
Middle Initial Of The Provider N
Credentials Of The Provider APN
Gender Of The Provider F
Entity Type Of The Provider I
Street Address 1 Of The Provider 1032 E OGDEN AVE
Street Address 2 Of The Provider
City Of The Provider NAPERVILLE
Zip Code Of The Provider 605638618
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 31
Number Of Services 213
Number Of Medicare Beneficiaries 110
Total Submitted Charge Amount 22020
Total Medicare Allowed Amount 8101.44
Total Medicare Payment Amount 6201.8
Total Medicare Standardized Payment Amount 6287.8
Drug Suppress Indicator
Number Of HCPCS Associated With Drug Services 6
Number Of Drug Services 26
Number Of Medicare Beneficiaries With Drug Services 20
Total Drug Submitted ChargeAmount 931
Total Drug Medicare AllowedAmount 200.44
Total Drug Medicare PaymentAmount 186.5
Total Drug Medicare Standardized Payment Amount 186.5
Medical SuppressIndicator
Number Of HCPCS Associated With MedicalServices 25
Number Of Medical Services 187
Number Of Medicare Beneficiaries With Medical Services 110
Total Medical Submitted Charge Amount 21089
Total Medical Medicare Allowed Amount 7901
Total Medical Medicare Payment Amount 6015.3
Total Medical Medicare Standardized Payment Amount 6101.3
Average Age Of Beneficiaries 73
Number Of Beneficiaries Age Less65
Number Of Beneficiaries Age 65 to 74 51
Number Of Beneficiaries Age 75 to 84 31
Number Of Beneficiaries Age Greater 84
Number Of Female Beneficiaries 58
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 97
Number Of Beneficiaries With Medicare Medicaid Entitlement 13
Percent Of With Atrial Fibrillation 17
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 14
Percent Of With Chronic Obstructive Pulmonary Disease 14
Percent Of With Depression 19
Percent Of With Diabetes 36
Percent Of With Hyperlipidemia 65
Percent Of With Hypertension 74
Percent Of With Ischemic Heart Disease 37
Percent Of With Osteoporosis
Percent Of With Rheumatoid Arthritis Osteoarthritis 41
Percent Of With Schizophrenia Other PsychoticDisorders
Percent Of With Stroke
Average HCC Risk Score Of Beneficiaries 1.0078

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