Medicare Facts for Rachael Moberg, PA-C


National Provider Identifier [NPI]: 1356789952
Last Name Of The Provider MOBERG
First Name Of The Provider RACHAEL
Middle Initial Of The Provider
Credentials Of The Provider PA-C
Gender Of The Provider F
Entity Type Of The Provider I
Street Address 1 Of The Provider 755 53RD AVE NE
Street Address 2 Of The Provider TARGET CLINIC
City Of The Provider FRIDLEY
Zip Code Of The Provider 554211240
State Code Of The Provider MN
Country Code Of The Provider US
Provider Type Of The Provider Physician Assistant
Medicare Participation Indicator Y
Number Of HCPCS 14
Number Of Services 262
Number Of Medicare Beneficiaries 131
Total Submitted Charge Amount 8091.02
Total Medicare Allowed Amount 7164.89
Total Medicare Payment Amount 4980.39
Total Medicare Standardized Payment Amount 7000.1
Drug Suppress Indicator
Number Of HCPCS Associated With Drug Services 5
Number Of Drug Services 109
Number Of Medicare Beneficiaries With Drug Services 106
Total Drug Submitted ChargeAmount 4211.02
Total Drug Medicare AllowedAmount 3583.04
Total Drug Medicare PaymentAmount 2628.24
Total Drug Medicare Standardized Payment Amount 2628.24
Medical SuppressIndicator
Number Of HCPCS Associated With MedicalServices 9
Number Of Medical Services 153
Number Of Medicare Beneficiaries With Medical Services 131
Total Medical Submitted Charge Amount 3880
Total Medical Medicare Allowed Amount 3581.85
Total Medical Medicare Payment Amount 2352.15
Total Medical Medicare Standardized Payment Amount 4371.86
Average Age Of Beneficiaries 73
Number Of Beneficiaries Age Less65
Number Of Beneficiaries Age 65 to 74 73
Number Of Beneficiaries Age 75 to 84 36
Number Of Beneficiaries Age Greater 84
Number Of Female Beneficiaries 73
Number Of Male Beneficiaries 58
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
Number Of Beneficiaries With Medicare Medicaid Entitlement
Percent Of With Atrial Fibrillation
Percent Of With Alzheimers Disease or Dementia
Percent Of With Asthma
Percent Of With Cancer 8
Percent Of With Heart Failure
Percent Of With Chronic Kidney Disease 9
Percent Of With Chronic Obstructive Pulmonary Disease
Percent Of With Depression
Percent Of With Diabetes 11
Percent Of With Hyperlipidemia 22
Percent Of With Hypertension 29
Percent Of With Ischemic Heart Disease 15
Percent Of With Osteoporosis
Percent Of With Rheumatoid Arthritis Osteoarthritis 11
Percent Of With Schizophrenia Other PsychoticDisorders
Percent Of With Stroke
Average HCC Risk Score Of Beneficiaries 0.8642

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