Medicare Facts for Regina D. Prince, CRNA


National Provider Identifier [NPI]: 1013111517
Last Name Of The Provider PRINCE
First Name Of The Provider REGINA
Middle Initial Of The Provider D
Credentials Of The Provider CRNA
Gender Of The Provider F
Entity Type Of The Provider I
Street Address 1 Of The Provider 1808 W MAIN ST
Street Address 2 Of The Provider
City Of The Provider RUSSELLVILLE
Zip Code Of The Provider 728012724
State Code Of The Provider AR
Country Code Of The Provider US
Provider Type Of The Provider CRNA
Medicare Participation Indicator Y
Number Of HCPCS 42
Number Of Services 201
Number Of Medicare Beneficiaries 191
Total Submitted Charge Amount 141192
Total Medicare Allowed Amount 39379.05
Total Medicare Payment Amount 30347.38
Total Medicare Standardized Payment Amount 32854.86
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 42
Number Of Medical Services 201
Number Of Medicare Beneficiaries With Medical Services 191
Total Medical Submitted Charge Amount 141192
Total Medical Medicare Allowed Amount 39379.05
Total Medical Medicare Payment Amount 30347.38
Total Medical Medicare Standardized Payment Amount 32854.86
Average Age Of Beneficiaries 71
Number Of Beneficiaries Age Less65 39
Number Of Beneficiaries Age 65 to 74 81
Number Of Beneficiaries Age 75 to 84 49
Number Of Beneficiaries Age Greater 84 22
Number Of Female Beneficiaries 106
Number Of Male Beneficiaries 85
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 144
Number Of Beneficiaries With Medicare Medicaid Entitlement 47
Percent Of With Atrial Fibrillation 14
Percent Of With Alzheimers Disease or Dementia 13
Percent Of With Asthma 6
Percent Of With Cancer 18
Percent Of With Heart Failure 26
Percent Of With Chronic Kidney Disease 18
Percent Of With Chronic Obstructive Pulmonary Disease 18
Percent Of With Depression 28
Percent Of With Diabetes 35
Percent Of With Hyperlipidemia 43
Percent Of With Hypertension 72
Percent Of With Ischemic Heart Disease 40
Percent Of With Osteoporosis 8
Percent Of With Rheumatoid Arthritis Osteoarthritis 40
Percent Of With Schizophrenia Other PsychoticDisorders
Percent Of With Stroke
Average HCC Risk Score Of Beneficiaries 1.0848

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