Medicare Facts for Jennifer Holian, CRNP


National Provider Identifier [NPI]: 1366796799
Last Name Of The Provider HOLIAN
First Name Of The Provider JENNIFER
Middle Initial Of The Provider
Credentials Of The Provider CRNP
Gender Of The Provider F
Entity Type Of The Provider I
Street Address 1 Of The Provider 1020 SANSOM ST
Street Address 2 Of The Provider 239 THOMPSON BLDG
City Of The Provider PHILADELPHIA
Zip Code Of The Provider 191075002
State Code Of The Provider PA
Country Code Of The Provider US
Provider Type Of The Provider Nurse Practitioner
Medicare Participation Indicator Y
Number Of HCPCS 5
Number Of Services 35
Number Of Medicare Beneficiaries 33
Total Submitted Charge Amount 6685
Total Medicare Allowed Amount 3227.61
Total Medicare Payment Amount 2391.98
Total Medicare Standardized Payment Amount 2693.66
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 5
Number Of Medical Services 35
Number Of Medicare Beneficiaries With Medical Services 33
Total Medical Submitted Charge Amount 6685
Total Medical Medicare Allowed Amount 3227.61
Total Medical Medicare Payment Amount 2391.98
Total Medical Medicare Standardized Payment Amount 2693.66
Average Age Of Beneficiaries 67
Number Of Beneficiaries Age Less65 13
Number Of Beneficiaries Age 65 to 74
Number Of Beneficiaries Age 75 to 84
Number Of Beneficiaries Age Greater 84
Number Of Female Beneficiaries 18
Number Of Male Beneficiaries 15
Number Of Non Hispanic White Beneficiaries 16
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 19
Number Of Beneficiaries With Medicare Medicaid Entitlement 14
Percent Of With Atrial Fibrillation
Percent Of With Alzheimers Disease or Dementia
Percent Of With Asthma
Percent Of With Cancer
Percent Of With Heart Failure
Percent Of With Chronic Kidney Disease
Percent Of With Chronic Obstructive Pulmonary Disease
Percent Of With Depression 36
Percent Of With Diabetes 45
Percent Of With Hyperlipidemia 58
Percent Of With Hypertension 67
Percent Of With Ischemic Heart Disease 36
Percent Of With Osteoporosis
Percent Of With Rheumatoid Arthritis Osteoarthritis
Percent Of With Schizophrenia Other PsychoticDisorders 0
Percent Of With Stroke
Average HCC Risk Score Of Beneficiaries 1.5079

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