Medicare Facts for Collette Lavaley, CNS


National Provider Identifier [NPI]: 1083997753
Last Name Of The Provider LAVALEY
First Name Of The Provider COLLETTE
Middle Initial Of The Provider
Credentials Of The Provider CNS
Gender Of The Provider F
Entity Type Of The Provider I
Street Address 1 Of The Provider 1730 W 25TH ST
Street Address 2 Of The Provider
City Of The Provider CLEVELAND
Zip Code Of The Provider 441133108
State Code Of The Provider OH
Country Code Of The Provider US
Provider Type Of The Provider Certified Clinical Nurse Specialist
Medicare Participation Indicator Y
Number Of HCPCS 7
Number Of Services 607
Number Of Medicare Beneficiaries 116
Total Submitted Charge Amount 39165
Total Medicare Allowed Amount 27951.26
Total Medicare Payment Amount 21642.61
Total Medicare Standardized Payment Amount 25945.05
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 607
Number Of Medicare Beneficiaries With Medical Services 116
Total Medical Submitted Charge Amount 39165
Total Medical Medicare Allowed Amount 27951.26
Total Medical Medicare Payment Amount 21642.61
Total Medical Medicare Standardized Payment Amount 25945.05
Average Age Of Beneficiaries 78
Number Of Beneficiaries Age Less65 18
Number Of Beneficiaries Age 65 to 74 25
Number Of Beneficiaries Age 75 to 84 31
Number Of Beneficiaries Age Greater 84 42
Number Of Female Beneficiaries 70
Number Of Male Beneficiaries 46
Number Of Non Hispanic White Beneficiaries 101
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 41
Number Of Beneficiaries With Medicare Medicaid Entitlement 75
Percent Of With Atrial Fibrillation 25
Percent Of With Alzheimers Disease or Dementia 65
Percent Of With Asthma 12
Percent Of With Cancer
Percent Of With Heart Failure 63
Percent Of With Chronic Kidney Disease 56
Percent Of With Chronic Obstructive Pulmonary Disease 42
Percent Of With Depression 53
Percent Of With Diabetes 60
Percent Of With Hyperlipidemia 51
Percent Of With Hypertension 75
Percent Of With Ischemic Heart Disease 54
Percent Of With Osteoporosis
Percent Of With Rheumatoid Arthritis Osteoarthritis 64
Percent Of With Schizophrenia Other PsychoticDisorders 26
Percent Of With Stroke 15
Average HCC Risk Score Of Beneficiaries 3.5142

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