Medicare Facts for Cathy Devalk-Holl, NP


National Provider Identifier [NPI]: 1083808471
Last Name Of The Provider DEVALK-HOLL
First Name Of The Provider CATHY
Middle Initial Of The Provider
Credentials Of The Provider NP
Gender Of The Provider F
Entity Type Of The Provider I
Street Address 1 Of The Provider 2890 LINEVILLE RD
Street Address 2 Of The Provider
City Of The Provider SUAMICO
Zip Code Of The Provider 54173
State Code Of The Provider WI
Country Code Of The Provider US
Provider Type Of The Provider Nurse Practitioner
Medicare Participation Indicator Y
Number Of HCPCS 24
Number Of Services 187
Number Of Medicare Beneficiaries 59
Total Submitted Charge Amount 31983.6
Total Medicare Allowed Amount 9518.07
Total Medicare Payment Amount 7148.26
Total Medicare Standardized Payment Amount 8728.43
Drug Suppress Indicator
Number Of HCPCS Associated With Drug Services 6
Number Of Drug Services 23
Number Of Medicare Beneficiaries With Drug Services 17
Total Drug Submitted ChargeAmount 930.6
Total Drug Medicare AllowedAmount 488.37
Total Drug Medicare PaymentAmount 478.34
Total Drug Medicare Standardized Payment Amount 478.34
Medical SuppressIndicator
Number Of HCPCS Associated With MedicalServices 18
Number Of Medical Services 164
Number Of Medicare Beneficiaries With Medical Services 59
Total Medical Submitted Charge Amount 31053
Total Medical Medicare Allowed Amount 9029.7
Total Medical Medicare Payment Amount 6669.92
Total Medical Medicare Standardized Payment Amount 8250.09
Average Age Of Beneficiaries 62
Number Of Beneficiaries Age Less65 26
Number Of Beneficiaries Age 65 to 74
Number Of Beneficiaries Age 75 to 84
Number Of Beneficiaries Age Greater 84
Number Of Female Beneficiaries 38
Number Of Male Beneficiaries 21
Number Of Non Hispanic White Beneficiaries
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 39
Number Of Beneficiaries With Medicare Medicaid Entitlement 20
Percent Of With Atrial Fibrillation 0
Percent Of With Alzheimers Disease or Dementia
Percent Of With Asthma
Percent Of With Cancer
Percent Of With Heart Failure 0
Percent Of With Chronic Kidney Disease
Percent Of With Chronic Obstructive Pulmonary Disease
Percent Of With Depression 34
Percent Of With Diabetes
Percent Of With Hyperlipidemia 34
Percent Of With Hypertension 47
Percent Of With Ischemic Heart Disease
Percent Of With Osteoporosis
Percent Of With Rheumatoid Arthritis Osteoarthritis 37
Percent Of With Schizophrenia Other PsychoticDisorders
Percent Of With Stroke 0
Average HCC Risk Score Of Beneficiaries 0.7742

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