Medicare Facts for Kristen M. Gilleo, FNP


National Provider Identifier [NPI]: 1598766677
Last Name Of The Provider GILLEO
First Name Of The Provider KRISTEN
Middle Initial Of The Provider M
Credentials Of The Provider FNP
Gender Of The Provider F
Entity Type Of The Provider I
Street Address 1 Of The Provider 7841 AMANA TRL
Street Address 2 Of The Provider
City Of The Provider INVER GROVE HEIGHTS
Zip Code Of The Provider 550772609
State Code Of The Provider MN
Country Code Of The Provider US
Provider Type Of The Provider Nurse Practitioner
Medicare Participation Indicator Y
Number Of HCPCS 23
Number Of Services 123
Number Of Medicare Beneficiaries 67
Total Submitted Charge Amount 6835.64
Total Medicare Allowed Amount 3799.5
Total Medicare Payment Amount 2885.12
Total Medicare Standardized Payment Amount 3785.59
Drug Suppress Indicator
Number Of HCPCS Associated With Drug Services 5
Number Of Drug Services 38
Number Of Medicare Beneficiaries With Drug Services 37
Total Drug Submitted ChargeAmount 1332.64
Total Drug Medicare AllowedAmount 1151.77
Total Drug Medicare PaymentAmount 1030.57
Total Drug Medicare Standardized Payment Amount 1030.57
Medical SuppressIndicator
Number Of HCPCS Associated With MedicalServices 18
Number Of Medical Services 85
Number Of Medicare Beneficiaries With Medical Services 66
Total Medical Submitted Charge Amount 5503
Total Medical Medicare Allowed Amount 2647.73
Total Medical Medicare Payment Amount 1854.55
Total Medical Medicare Standardized Payment Amount 2755.02
Average Age Of Beneficiaries 65
Number Of Beneficiaries Age Less65 16
Number Of Beneficiaries Age 65 to 74 35
Number Of Beneficiaries Age 75 to 84
Number Of Beneficiaries Age Greater 84
Number Of Female Beneficiaries 45
Number Of Male Beneficiaries 22
Number Of Non Hispanic White Beneficiaries
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
Number Of Beneficiaries With Medicare Medicaid Entitlement
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 16
Percent Of With Diabetes
Percent Of With Hyperlipidemia 27
Percent Of With Hypertension 30
Percent Of With Ischemic Heart Disease
Percent Of With Osteoporosis
Percent Of With Rheumatoid Arthritis Osteoarthritis
Percent Of With Schizophrenia Other PsychoticDisorders
Percent Of With Stroke
Average HCC Risk Score Of Beneficiaries 0.8262

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