Medicare Facts for Michael J. Grimm, APN


National Provider Identifier [NPI]: 1073732061
Last Name Of The Provider GRIMM
First Name Of The Provider MICHAEL
Middle Initial Of The Provider J
Credentials Of The Provider APN
Gender Of The Provider M
Entity Type Of The Provider I
Street Address 1 Of The Provider 1325 N HIGHLAND AVE
Street Address 2 Of The Provider
City Of The Provider AURORA
Zip Code Of The Provider 605061449
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 40
Number Of Services 226
Number Of Medicare Beneficiaries 93
Total Submitted Charge Amount 509442.8
Total Medicare Allowed Amount 35813.54
Total Medicare Payment Amount 27773.44
Total Medicare Standardized Payment Amount 29253.57
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 40
Number Of Medical Services 226
Number Of Medicare Beneficiaries With Medical Services 93
Total Medical Submitted Charge Amount 509442.8
Total Medical Medicare Allowed Amount 35813.54
Total Medical Medicare Payment Amount 27773.44
Total Medical Medicare Standardized Payment Amount 29253.57
Average Age Of Beneficiaries 71
Number Of Beneficiaries Age Less65
Number Of Beneficiaries Age 65 to 74 47
Number Of Beneficiaries Age 75 to 84 28
Number Of Beneficiaries Age Greater 84
Number Of Female Beneficiaries 32
Number Of Male Beneficiaries 61
Number Of Non Hispanic White Beneficiaries 74
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
Number Of Beneficiaries With Medicare Only Entitlement 76
Number Of Beneficiaries With Medicare Medicaid Entitlement 17
Percent Of With Atrial Fibrillation 40
Percent Of With Alzheimers Disease or Dementia
Percent Of With Asthma 14
Percent Of With Cancer 16
Percent Of With Heart Failure 52
Percent Of With Chronic Kidney Disease 51
Percent Of With Chronic Obstructive Pulmonary Disease 32
Percent Of With Depression 32
Percent Of With Diabetes 57
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 35
Percent Of With Schizophrenia Other PsychoticDisorders
Percent Of With Stroke 14
Average HCC Risk Score Of Beneficiaries 1.1869

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