Medicare Facts for Jeremy Beaulieu, NPC


National Provider Identifier [NPI]: 1427496868
Last Name Of The Provider BEAULIEU
First Name Of The Provider JEREMY
Middle Initial Of The Provider J
Credentials Of The Provider NP
Gender Of The Provider M
Entity Type Of The Provider I
Street Address 1 Of The Provider 84 MARGINAL WAY
Street Address 2 Of The Provider
City Of The Provider PORTLAND
Zip Code Of The Provider 04101
State Code Of The Provider ME
Country Code Of The Provider US
Provider Type Of The Provider Nurse Practitioner
Medicare Participation Indicator Y
Number Of HCPCS 11
Number Of Services 350
Number Of Medicare Beneficiaries 121
Total Submitted Charge Amount 67294.48
Total Medicare Allowed Amount 38251.04
Total Medicare Payment Amount 30008.87
Total Medicare Standardized Payment Amount 33156.09
Drug Suppress Indicator *
Number Of HCPCS Associated With Drug Services
Number Of Drug Services
Number Of Medicare Beneficiaries With Drug Services
Total Drug Submitted ChargeAmount
Total Drug Medicare AllowedAmount
Total Drug Medicare PaymentAmount
Total Drug Medicare Standardized Payment Amount
Medical SuppressIndicator #
Number Of HCPCS Associated With MedicalServices
Number Of Medical Services
Number Of Medicare Beneficiaries With Medical Services
Total Medical Submitted Charge Amount
Total Medical Medicare Allowed Amount
Total Medical Medicare Payment Amount
Total Medical Medicare Standardized Payment Amount
Average Age Of Beneficiaries 75
Number Of Beneficiaries Age Less65 20
Number Of Beneficiaries Age 65 to 74 36
Number Of Beneficiaries Age 75 to 84 35
Number Of Beneficiaries Age Greater 84 30
Number Of Female Beneficiaries 76
Number Of Male Beneficiaries 45
Number Of Non Hispanic White Beneficiaries 61
Number Of Black or African American Beneficiaries 34
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 42
Number Of Beneficiaries With Medicare Medicaid Entitlement 79
Percent Of With Atrial Fibrillation 17
Percent Of With Alzheimers Disease or Dementia 41
Percent Of With Asthma 13
Percent Of With Cancer 16
Percent Of With Heart Failure 46
Percent Of With Chronic Kidney Disease 42
Percent Of With Chronic Obstructive Pulmonary Disease 23
Percent Of With Depression 45
Percent Of With Diabetes 51
Percent Of With Hyperlipidemia 57
Percent Of With Hypertension 75
Percent Of With Ischemic Heart Disease 50
Percent Of With Osteoporosis 12
Percent Of With Rheumatoid Arthritis Osteoarthritis 50
Percent Of With Schizophrenia Other PsychoticDisorders 16
Percent Of With Stroke 15
Average HCC Risk Score Of Beneficiaries 1.893

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