Medicare Facts for Carolyn S. Coleman, ARNP


National Provider Identifier [NPI]: 1407283682
Last Name Of The Provider COLEMAN
First Name Of The Provider CAROLYN
Middle Initial Of The Provider S
Credentials Of The Provider ARNP
Gender Of The Provider F
Entity Type Of The Provider I
Street Address 1 Of The Provider 3487 BROADWAY AVENUE
Street Address 2 Of The Provider
City Of The Provider FORT MYERS
Zip Code Of The Provider 339017213
State Code Of The Provider FL
Country Code Of The Provider US
Provider Type Of The Provider Nurse Practitioner
Medicare Participation Indicator Y
Number Of HCPCS 23
Number Of Services 441
Number Of Medicare Beneficiaries 141
Total Submitted Charge Amount 48485
Total Medicare Allowed Amount 22895.29
Total Medicare Payment Amount 16389.07
Total Medicare Standardized Payment Amount 18338.18
Drug Suppress Indicator
Number Of HCPCS Associated With Drug Services 5
Number Of Drug Services 43
Number Of Medicare Beneficiaries With Drug Services 35
Total Drug Submitted ChargeAmount 2085
Total Drug Medicare AllowedAmount 1586.57
Total Drug Medicare PaymentAmount 1554.36
Total Drug Medicare Standardized Payment Amount 1554.36
Medical SuppressIndicator
Number Of HCPCS Associated With MedicalServices 18
Number Of Medical Services 398
Number Of Medicare Beneficiaries With Medical Services 141
Total Medical Submitted Charge Amount 46400
Total Medical Medicare Allowed Amount 21308.72
Total Medical Medicare Payment Amount 14834.71
Total Medical Medicare Standardized Payment Amount 16783.82
Average Age Of Beneficiaries 55
Number Of Beneficiaries Age Less65 117
Number Of Beneficiaries Age 65 to 74
Number Of Beneficiaries Age 75 to 84
Number Of Beneficiaries Age Greater 84
Number Of Female Beneficiaries 43
Number Of Male Beneficiaries 98
Number Of Non Hispanic White Beneficiaries 59
Number Of Black or African American Beneficiaries 59
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 17
Number Of Beneficiaries With Medicare Medicaid Entitlement 124
Percent Of With Atrial Fibrillation
Percent Of With Alzheimers Disease or Dementia
Percent Of With Asthma 10
Percent Of With Cancer
Percent Of With Heart Failure
Percent Of With Chronic Kidney Disease 28
Percent Of With Chronic Obstructive Pulmonary Disease 11
Percent Of With Depression 30
Percent Of With Diabetes 24
Percent Of With Hyperlipidemia 69
Percent Of With Hypertension 50
Percent Of With Ischemic Heart Disease 21
Percent Of With Osteoporosis
Percent Of With Rheumatoid Arthritis Osteoarthritis 21
Percent Of With Schizophrenia Other PsychoticDisorders
Percent Of With Stroke
Average HCC Risk Score Of Beneficiaries 1.51

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