Medicare Facts for Allison I. Simon, APRN


National Provider Identifier [NPI]: 1962466391
Last Name Of The Provider SIMON
First Name Of The Provider ALLISON
Middle Initial Of The Provider I
Credentials Of The Provider APRN
Gender Of The Provider F
Entity Type Of The Provider I
Street Address 1 Of The Provider 5073 MAIN ST
Street Address 2 Of The Provider SUITE 100
City Of The Provider SPRING HILL
Zip Code Of The Provider 371742737
State Code Of The Provider TN
Country Code Of The Provider US
Provider Type Of The Provider Nurse Practitioner
Medicare Participation Indicator Y
Number Of HCPCS 29
Number Of Services 204
Number Of Medicare Beneficiaries 46
Total Submitted Charge Amount 11092.5
Total Medicare Allowed Amount 6175.36
Total Medicare Payment Amount 4492.88
Total Medicare Standardized Payment Amount 5783.1
Drug Suppress Indicator
Number Of HCPCS Associated With Drug Services 7
Number Of Drug Services 28
Number Of Medicare Beneficiaries With Drug Services 11
Total Drug Submitted ChargeAmount 477.5
Total Drug Medicare AllowedAmount 34.68
Total Drug Medicare PaymentAmount 25.52
Total Drug Medicare Standardized Payment Amount 25.52
Medical SuppressIndicator
Number Of HCPCS Associated With MedicalServices 22
Number Of Medical Services 176
Number Of Medicare Beneficiaries With Medical Services 46
Total Medical Submitted Charge Amount 10615
Total Medical Medicare Allowed Amount 6140.68
Total Medical Medicare Payment Amount 4467.36
Total Medical Medicare Standardized Payment Amount 5757.58
Average Age Of Beneficiaries 64
Number Of Beneficiaries Age Less65 20
Number Of Beneficiaries Age 65 to 74
Number Of Beneficiaries Age 75 to 84
Number Of Beneficiaries Age Greater 84
Number Of Female Beneficiaries 25
Number Of Male Beneficiaries 21
Number Of Non Hispanic White Beneficiaries 35
Number Of Black or African American Beneficiaries
Number Of AsianPacific Islander Beneficiaries 0
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 22
Number Of Beneficiaries With Medicare Medicaid Entitlement 24
Percent Of With Atrial Fibrillation
Percent Of With Alzheimers Disease or Dementia
Percent Of With Asthma
Percent Of With Cancer
Percent Of With Heart Failure
Percent Of With Chronic Kidney Disease
Percent Of With Chronic Obstructive Pulmonary Disease 28
Percent Of With Depression 35
Percent Of With Diabetes 35
Percent Of With Hyperlipidemia 43
Percent Of With Hypertension 65
Percent Of With Ischemic Heart Disease 30
Percent Of With Osteoporosis 0
Percent Of With Rheumatoid Arthritis Osteoarthritis 48
Percent Of With Schizophrenia Other PsychoticDisorders
Percent Of With Stroke 0
Average HCC Risk Score Of Beneficiaries 1.2702

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