Medicare Facts for Melissa L. Baughman


National Provider Identifier [NPI]: 1437174943
Last Name Of The Provider BAUGHMAN
First Name Of The Provider MELISSA
Middle Initial Of The Provider A
Credentials Of The Provider RN NP
Gender Of The Provider F
Entity Type Of The Provider I
Street Address 1 Of The Provider 152 DEAN ST
Street Address 2 Of The Provider
City Of The Provider TAUNTON
Zip Code Of The Provider 02780
State Code Of The Provider MA
Country Code Of The Provider US
Provider Type Of The Provider Nurse Practitioner
Medicare Participation Indicator Y
Number Of HCPCS 51
Number Of Services 624
Number Of Medicare Beneficiaries 212
Total Submitted Charge Amount 52778.02
Total Medicare Allowed Amount 36536.95
Total Medicare Payment Amount 27831.8
Total Medicare Standardized Payment Amount 31488.84
Drug Suppress Indicator
Number Of HCPCS Associated With Drug Services 6
Number Of Drug Services 12
Number Of Medicare Beneficiaries With Drug Services 12
Total Drug Submitted ChargeAmount 399.02
Total Drug Medicare AllowedAmount 272.32
Total Drug Medicare PaymentAmount 266.42
Total Drug Medicare Standardized Payment Amount 266.42
Medical SuppressIndicator
Number Of HCPCS Associated With MedicalServices 45
Number Of Medical Services 612
Number Of Medicare Beneficiaries With Medical Services 212
Total Medical Submitted Charge Amount 52379
Total Medical Medicare Allowed Amount 36264.63
Total Medical Medicare Payment Amount 27565.38
Total Medical Medicare Standardized Payment Amount 31222.42
Average Age Of Beneficiaries 72
Number Of Beneficiaries Age Less65 53
Number Of Beneficiaries Age 65 to 74 65
Number Of Beneficiaries Age 75 to 84 45
Number Of Beneficiaries Age Greater 84 49
Number Of Female Beneficiaries 144
Number Of Male Beneficiaries 68
Number Of Non Hispanic White Beneficiaries 189
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 146
Number Of Beneficiaries With Medicare Medicaid Entitlement 66
Percent Of With Atrial Fibrillation 12
Percent Of With Alzheimers Disease or Dementia 20
Percent Of With Asthma 13
Percent Of With Cancer 10
Percent Of With Heart Failure 22
Percent Of With Chronic Kidney Disease 32
Percent Of With Chronic Obstructive Pulmonary Disease 15
Percent Of With Depression 37
Percent Of With Diabetes 25
Percent Of With Hyperlipidemia 59
Percent Of With Hypertension 68
Percent Of With Ischemic Heart Disease 24
Percent Of With Osteoporosis 12
Percent Of With Rheumatoid Arthritis Osteoarthritis 35
Percent Of With Schizophrenia Other PsychoticDisorders 10
Percent Of With Stroke 8
Average HCC Risk Score Of Beneficiaries 1.2724

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