Medicare Facts for Christopher L. Mogren, CFNP


National Provider Identifier [NPI]: 1417147927
Last Name Of The Provider MOGREN
First Name Of The Provider CHRISTOPHER
Middle Initial Of The Provider L
Credentials Of The Provider CFNP
Gender Of The Provider M
Entity Type Of The Provider I
Street Address 1 Of The Provider 751 N RUTLEDGE ST
Street Address 2 Of The Provider ROOM 1100
City Of The Provider SPRINGFIELD
Zip Code Of The Provider 627024909
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 7
Number Of Services 177
Number Of Medicare Beneficiaries 118
Total Submitted Charge Amount 38097
Total Medicare Allowed Amount 19861.43
Total Medicare Payment Amount 13674.33
Total Medicare Standardized Payment Amount 17145.16
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 7
Number Of Medical Services 177
Number Of Medicare Beneficiaries With Medical Services 118
Total Medical Submitted Charge Amount 38097
Total Medical Medicare Allowed Amount 19861.43
Total Medical Medicare Payment Amount 13674.33
Total Medical Medicare Standardized Payment Amount 17145.16
Average Age Of Beneficiaries 64
Number Of Beneficiaries Age Less65 46
Number Of Beneficiaries Age 65 to 74 51
Number Of Beneficiaries Age 75 to 84
Number Of Beneficiaries Age Greater 84
Number Of Female Beneficiaries 73
Number Of Male Beneficiaries 45
Number Of Non Hispanic White Beneficiaries 96
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 63
Number Of Beneficiaries With Medicare Medicaid Entitlement 55
Percent Of With Atrial Fibrillation
Percent Of With Alzheimers Disease or Dementia
Percent Of With Asthma 15
Percent Of With Cancer 13
Percent Of With Heart Failure
Percent Of With Chronic Kidney Disease 10
Percent Of With Chronic Obstructive Pulmonary Disease 18
Percent Of With Depression 38
Percent Of With Diabetes 26
Percent Of With Hyperlipidemia 42
Percent Of With Hypertension 62
Percent Of With Ischemic Heart Disease 37
Percent Of With Osteoporosis
Percent Of With Rheumatoid Arthritis Osteoarthritis 36
Percent Of With Schizophrenia Other PsychoticDisorders
Percent Of With Stroke
Average HCC Risk Score Of Beneficiaries 1.0449

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