Medicare Facts for Stacia L. Sackmaster, APN


National Provider Identifier [NPI]: 1912330895
Last Name Of The Provider SACKMASTER
First Name Of The Provider STACIA
Middle Initial Of The Provider L
Credentials Of The Provider APN
Gender Of The Provider F
Entity Type Of The Provider I
Street Address 1 Of The Provider 401 ROXBURY RD
Street Address 2 Of The Provider
City Of The Provider ROCKFORD
Zip Code Of The Provider 611075075
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 10
Number Of Services 619
Number Of Medicare Beneficiaries 514
Total Submitted Charge Amount 128058
Total Medicare Allowed Amount 52643.15
Total Medicare Payment Amount 36111.84
Total Medicare Standardized Payment Amount 45799.69
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 10
Number Of Medical Services 619
Number Of Medicare Beneficiaries With Medical Services 514
Total Medical Submitted Charge Amount 128058
Total Medical Medicare Allowed Amount 52643.15
Total Medical Medicare Payment Amount 36111.84
Total Medical Medicare Standardized Payment Amount 45799.69
Average Age Of Beneficiaries 68
Number Of Beneficiaries Age Less65 139
Number Of Beneficiaries Age 65 to 74 227
Number Of Beneficiaries Age 75 to 84 107
Number Of Beneficiaries Age Greater 84 41
Number Of Female Beneficiaries 338
Number Of Male Beneficiaries 176
Number Of Non Hispanic White Beneficiaries 413
Number Of Black or African American Beneficiaries 64
Number Of AsianPacific Islander Beneficiaries
Number Of Hispanic Beneficiaries 23
Number Of American Indian Alaska Native Beneficiaries 0
Number Of Beneficiaries With Race Not Else where Classified
Number Of Beneficiaries With Medicare Only Entitlement 341
Number Of Beneficiaries With Medicare Medicaid Entitlement 173
Percent Of With Atrial Fibrillation 9
Percent Of With Alzheimers Disease or Dementia 8
Percent Of With Asthma 9
Percent Of With Cancer 10
Percent Of With Heart Failure 20
Percent Of With Chronic Kidney Disease 20
Percent Of With Chronic Obstructive Pulmonary Disease 19
Percent Of With Depression 26
Percent Of With Diabetes 35
Percent Of With Hyperlipidemia 52
Percent Of With Hypertension 62
Percent Of With Ischemic Heart Disease 32
Percent Of With Osteoporosis 8
Percent Of With Rheumatoid Arthritis Osteoarthritis 43
Percent Of With Schizophrenia Other PsychoticDisorders 7
Percent Of With Stroke 4
Average HCC Risk Score Of Beneficiaries 1.232

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