National Provider Identifier [NPI]: |
1851305114 |
Last Name Of The Provider |
REMPEL |
First Name Of The Provider |
HELEN |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
PAC |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
2180 MAIN ST |
Street Address 2 Of The Provider |
|
City Of The Provider |
WAILUKU |
Zip Code Of The Provider |
967931666 |
State Code Of The Provider |
HI |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Physician Assistant |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
27 |
Number Of Services |
505 |
Number Of Medicare Beneficiaries |
200 |
Total Submitted Charge Amount |
42551.87 |
Total Medicare Allowed Amount |
33841.6 |
Total Medicare Payment Amount |
22755.9 |
Total Medicare Standardized Payment Amount |
25637.35 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
5 |
Number Of Drug Services |
31 |
Number Of Medicare Beneficiaries With Drug Services |
22 |
Total Drug Submitted ChargeAmount |
292.22 |
Total Drug Medicare AllowedAmount |
280.25 |
Total Drug Medicare PaymentAmount |
255 |
Total Drug Medicare Standardized Payment Amount |
255 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
22 |
Number Of Medical Services |
474 |
Number Of Medicare Beneficiaries With Medical Services |
200 |
Total Medical Submitted Charge Amount |
42259.65 |
Total Medical Medicare Allowed Amount |
33561.35 |
Total Medical Medicare Payment Amount |
22500.9 |
Total Medical Medicare Standardized Payment Amount |
25382.35 |
Average Age Of Beneficiaries |
71 |
Number Of Beneficiaries Age Less65 |
22 |
Number Of Beneficiaries Age 65 to 74 |
118 |
Number Of Beneficiaries Age 75 to 84 |
40 |
Number Of Beneficiaries Age Greater 84 |
20 |
Number Of Female Beneficiaries |
122 |
Number Of Male Beneficiaries |
78 |
Number Of Non Hispanic White Beneficiaries |
147 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
32 |
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 |
174 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
26 |
Percent Of With Atrial Fibrillation |
7 |
Percent Of With Alzheimers Disease or Dementia |
7 |
Percent Of With Asthma |
|
Percent Of With Cancer |
8 |
Percent Of With Heart Failure |
|
Percent Of With Chronic Kidney Disease |
12 |
Percent Of With Chronic Obstructive Pulmonary Disease |
8 |
Percent Of With Depression |
17 |
Percent Of With Diabetes |
13 |
Percent Of With Hyperlipidemia |
50 |
Percent Of With Hypertension |
49 |
Percent Of With Ischemic Heart Disease |
14 |
Percent Of With Osteoporosis |
7 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
35 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
6 |
Average HCC Risk Score Of Beneficiaries |
0.8568 |