Medicare Facts for Viola G. Medina, ARNP


National Provider Identifier [NPI]: 1679629661
Last Name Of The Provider MEDINA
First Name Of The Provider VIOLA
Middle Initial Of The Provider G
Credentials Of The Provider ARNP
Gender Of The Provider F
Entity Type Of The Provider I
Street Address 1 Of The Provider 380 WINSLOW WAY E
Street Address 2 Of The Provider
City Of The Provider BAINBRIDGE ISLAND
Zip Code Of The Provider 981102424
State Code Of The Provider WA
Country Code Of The Provider US
Provider Type Of The Provider Nurse Practitioner
Medicare Participation Indicator Y
Number Of HCPCS 62
Number Of Services 1225
Number Of Medicare Beneficiaries 342
Total Submitted Charge Amount 204829.15
Total Medicare Allowed Amount 64566.87
Total Medicare Payment Amount 47025.83
Total Medicare Standardized Payment Amount 53481.77
Drug Suppress Indicator
Number Of HCPCS Associated With Drug Services 13
Number Of Drug Services 350
Number Of Medicare Beneficiaries With Drug Services 51
Total Drug Submitted ChargeAmount 60582.15
Total Drug Medicare AllowedAmount 22890.81
Total Drug Medicare PaymentAmount 18251.49
Total Drug Medicare Standardized Payment Amount 18251.49
Medical SuppressIndicator
Number Of HCPCS Associated With MedicalServices 49
Number Of Medical Services 875
Number Of Medicare Beneficiaries With Medical Services 341
Total Medical Submitted Charge Amount 144247
Total Medical Medicare Allowed Amount 41676.06
Total Medical Medicare Payment Amount 28774.34
Total Medical Medicare Standardized Payment Amount 35230.28
Average Age Of Beneficiaries 72
Number Of Beneficiaries Age Less65 24
Number Of Beneficiaries Age 65 to 74 190
Number Of Beneficiaries Age 75 to 84 100
Number Of Beneficiaries Age Greater 84 28
Number Of Female Beneficiaries 221
Number Of Male Beneficiaries 121
Number Of Non Hispanic White Beneficiaries 324
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 320
Number Of Beneficiaries With Medicare Medicaid Entitlement 22
Percent Of With Atrial Fibrillation 13
Percent Of With Alzheimers Disease or Dementia 5
Percent Of With Asthma 7
Percent Of With Cancer 11
Percent Of With Heart Failure 12
Percent Of With Chronic Kidney Disease 13
Percent Of With Chronic Obstructive Pulmonary Disease 6
Percent Of With Depression 18
Percent Of With Diabetes 14
Percent Of With Hyperlipidemia 40
Percent Of With Hypertension 39
Percent Of With Ischemic Heart Disease 18
Percent Of With Osteoporosis 6
Percent Of With Rheumatoid Arthritis Osteoarthritis 25
Percent Of With Schizophrenia Other PsychoticDisorders
Percent Of With Stroke 3
Average HCC Risk Score Of Beneficiaries 0.9421

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