Medicare Facts for Lisa Thompson


National Provider Identifier [NPI]: 1376631903
Last Name Of The Provider THOMPSON
First Name Of The Provider LISA
Middle Initial Of The Provider H
Credentials Of The Provider PA
Gender Of The Provider F
Entity Type Of The Provider I
Street Address 1 Of The Provider 311 E CLIFTY DR
Street Address 2 Of The Provider
City Of The Provider MADISON
Zip Code Of The Provider 472504621
State Code Of The Provider IN
Country Code Of The Provider US
Provider Type Of The Provider Physician Assistant
Medicare Participation Indicator Y
Number Of HCPCS 19
Number Of Services 316
Number Of Medicare Beneficiaries 34
Total Submitted Charge Amount 35373.97
Total Medicare Allowed Amount 19930.48
Total Medicare Payment Amount 15419.22
Total Medicare Standardized Payment Amount 19199.71
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 69
Number Of Beneficiaries Age Less65 12
Number Of Beneficiaries Age 65 to 74
Number Of Beneficiaries Age 75 to 84
Number Of Beneficiaries Age Greater 84
Number Of Female Beneficiaries 19
Number Of Male Beneficiaries 15
Number Of Non Hispanic White Beneficiaries 19
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 53
Percent Of With Asthma
Percent Of With Cancer
Percent Of With Heart Failure 44
Percent Of With Chronic Kidney Disease 47
Percent Of With Chronic Obstructive Pulmonary Disease 38
Percent Of With Depression 74
Percent Of With Diabetes 62
Percent Of With Hyperlipidemia 35
Percent Of With Hypertension 75
Percent Of With Ischemic Heart Disease 50
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 3.7831

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