Medicare Facts for Siri Mohr, ANP


National Provider Identifier [NPI]: 1912334186
Last Name Of The Provider MOHR
First Name Of The Provider SIRI
Middle Initial Of The Provider
Credentials Of The Provider ANP
Gender Of The Provider F
Entity Type Of The Provider I
Street Address 1 Of The Provider 206 MILL RD
Street Address 2 Of The Provider
City Of The Provider FAIRHAVEN
Zip Code Of The Provider 027195208
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 4
Number Of Services 1070
Number Of Medicare Beneficiaries 266
Total Submitted Charge Amount 246462
Total Medicare Allowed Amount 61355.3
Total Medicare Payment Amount 47437.93
Total Medicare Standardized Payment Amount 55660.65
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 4
Number Of Medical Services 1070
Number Of Medicare Beneficiaries With Medical Services 266
Total Medical Submitted Charge Amount 246462
Total Medical Medicare Allowed Amount 61355.3
Total Medical Medicare Payment Amount 47437.93
Total Medical Medicare Standardized Payment Amount 55660.65
Average Age Of Beneficiaries 72
Number Of Beneficiaries Age Less65 42
Number Of Beneficiaries Age 65 to 74 113
Number Of Beneficiaries Age 75 to 84 78
Number Of Beneficiaries Age Greater 84 33
Number Of Female Beneficiaries 137
Number Of Male Beneficiaries 129
Number Of Non Hispanic White Beneficiaries 226
Number Of Black or African American Beneficiaries
Number Of AsianPacific Islander Beneficiaries
Number Of Hispanic Beneficiaries 18
Number Of American Indian Alaska Native Beneficiaries
Number Of Beneficiaries With Race Not Else where Classified
Number Of Beneficiaries With Medicare Only Entitlement 174
Number Of Beneficiaries With Medicare Medicaid Entitlement 92
Percent Of With Atrial Fibrillation 17
Percent Of With Alzheimers Disease or Dementia 10
Percent Of With Asthma 9
Percent Of With Cancer 51
Percent Of With Heart Failure 26
Percent Of With Chronic Kidney Disease 35
Percent Of With Chronic Obstructive Pulmonary Disease 32
Percent Of With Depression 28
Percent Of With Diabetes 37
Percent Of With Hyperlipidemia 56
Percent Of With Hypertension 75
Percent Of With Ischemic Heart Disease 38
Percent Of With Osteoporosis 11
Percent Of With Rheumatoid Arthritis Osteoarthritis 28
Percent Of With Schizophrenia Other PsychoticDisorders 5
Percent Of With Stroke 6
Average HCC Risk Score Of Beneficiaries 2.2317

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