Medicare Facts for Melanie D. Gaston, CFNP


National Provider Identifier [NPI]: 1265418529
Last Name Of The Provider GASTON
First Name Of The Provider MELANIE
Middle Initial Of The Provider D
Credentials Of The Provider CFNP
Gender Of The Provider F
Entity Type Of The Provider I
Street Address 1 Of The Provider 15631 N ORACLE RD
Street Address 2 Of The Provider SUITE 141
City Of The Provider TUCSON
Zip Code Of The Provider 857398691
State Code Of The Provider AZ
Country Code Of The Provider US
Provider Type Of The Provider Nurse Practitioner
Medicare Participation Indicator Y
Number Of HCPCS 18
Number Of Services 338
Number Of Medicare Beneficiaries 201
Total Submitted Charge Amount 13856.89
Total Medicare Allowed Amount 11229.28
Total Medicare Payment Amount 8457.9
Total Medicare Standardized Payment Amount 10589.84
Drug Suppress Indicator
Number Of HCPCS Associated With Drug Services 5
Number Of Drug Services 102
Number Of Medicare Beneficiaries With Drug Services 99
Total Drug Submitted ChargeAmount 3724.98
Total Drug Medicare AllowedAmount 3069.41
Total Drug Medicare PaymentAmount 3007.79
Total Drug Medicare Standardized Payment Amount 3007.79
Medical SuppressIndicator
Number Of HCPCS Associated With MedicalServices 13
Number Of Medical Services 236
Number Of Medicare Beneficiaries With Medical Services 201
Total Medical Submitted Charge Amount 10131.91
Total Medical Medicare Allowed Amount 8159.87
Total Medical Medicare Payment Amount 5450.11
Total Medical Medicare Standardized Payment Amount 7582.05
Average Age Of Beneficiaries 74
Number Of Beneficiaries Age Less65
Number Of Beneficiaries Age 65 to 74 117
Number Of Beneficiaries Age 75 to 84 62
Number Of Beneficiaries Age Greater 84
Number Of Female Beneficiaries 115
Number Of Male Beneficiaries 86
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 9
Percent Of With Alzheimers Disease or Dementia
Percent Of With Asthma 6
Percent Of With Cancer 9
Percent Of With Heart Failure 6
Percent Of With Chronic Kidney Disease 15
Percent Of With Chronic Obstructive Pulmonary Disease 7
Percent Of With Depression 11
Percent Of With Diabetes 15
Percent Of With Hyperlipidemia 56
Percent Of With Hypertension 52
Percent Of With Ischemic Heart Disease 18
Percent Of With Osteoporosis 10
Percent Of With Rheumatoid Arthritis Osteoarthritis 32
Percent Of With Schizophrenia Other PsychoticDisorders 0
Percent Of With Stroke
Average HCC Risk Score Of Beneficiaries 0.7265

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