Medicare Facts for Kathleen B. Nichols, PT


National Provider Identifier [NPI]: 1033116462
Last Name Of The Provider NICHOLS
First Name Of The Provider KATHLEEN
Middle Initial Of The Provider P
Credentials Of The Provider M.D.
Gender Of The Provider F
Entity Type Of The Provider I
Street Address 1 Of The Provider 6200 N LA CHOLLA BLVD
Street Address 2 Of The Provider
City Of The Provider TUCSON
Zip Code Of The Provider 857413529
State Code Of The Provider AZ
Country Code Of The Provider US
Provider Type Of The Provider Anesthesiology
Medicare Participation Indicator Y
Number Of HCPCS 12
Number Of Services 95
Number Of Medicare Beneficiaries 94
Total Submitted Charge Amount 19557.62
Total Medicare Allowed Amount 17103.37
Total Medicare Payment Amount 13409.02
Total Medicare Standardized Payment Amount 13490.28
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 12
Number Of Medical Services 95
Number Of Medicare Beneficiaries With Medical Services 94
Total Medical Submitted Charge Amount 19557.62
Total Medical Medicare Allowed Amount 17103.37
Total Medical Medicare Payment Amount 13409.02
Total Medical Medicare Standardized Payment Amount 13490.28
Average Age Of Beneficiaries 72
Number Of Beneficiaries Age Less65
Number Of Beneficiaries Age 65 to 74 59
Number Of Beneficiaries Age 75 to 84 24
Number Of Beneficiaries Age Greater 84
Number Of Female Beneficiaries 59
Number Of Male Beneficiaries 35
Number Of Non Hispanic White Beneficiaries 83
Number Of Black or African American Beneficiaries
Number Of AsianPacific Islander Beneficiaries
Number Of Hispanic Beneficiaries
Number Of American Indian Alaska Native Beneficiaries 0
Number Of Beneficiaries With Race Not Else where Classified
Number Of Beneficiaries With Medicare Only Entitlement
Number Of Beneficiaries With Medicare Medicaid Entitlement
Percent Of With Atrial Fibrillation
Percent Of With Alzheimers Disease or Dementia
Percent Of With Asthma 14
Percent Of With Cancer
Percent Of With Heart Failure
Percent Of With Chronic Kidney Disease 14
Percent Of With Chronic Obstructive Pulmonary Disease
Percent Of With Depression
Percent Of With Diabetes 31
Percent Of With Hyperlipidemia 47
Percent Of With Hypertension 61
Percent Of With Ischemic Heart Disease 23
Percent Of With Osteoporosis
Percent Of With Rheumatoid Arthritis Osteoarthritis 38
Percent Of With Schizophrenia Other PsychoticDisorders
Percent Of With Stroke
Average HCC Risk Score Of Beneficiaries 0.8488

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