Medicare Facts for Melissa O. Halvorsen


National Provider Identifier [NPI]: 1215158019
Last Name Of The Provider HALVORSEN
First Name Of The Provider MELISSA
Middle Initial Of The Provider O
Credentials Of The Provider
Gender Of The Provider F
Entity Type Of The Provider I
Street Address 1 Of The Provider 200 1ST ST SW
Street Address 2 Of The Provider
City Of The Provider ROCHESTER
Zip Code Of The Provider 559050001
State Code Of The Provider MN
Country Code Of The Provider US
Provider Type Of The Provider Occupational therapist
Medicare Participation Indicator Y
Number Of HCPCS 7
Number Of Services 325
Number Of Medicare Beneficiaries 70
Total Submitted Charge Amount 15816.89
Total Medicare Allowed Amount 11636.92
Total Medicare Payment Amount 8970.36
Total Medicare Standardized Payment Amount 6728.83
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 7
Number Of Medical Services 325
Number Of Medicare Beneficiaries With Medical Services 70
Total Medical Submitted Charge Amount 15816.89
Total Medical Medicare Allowed Amount 11636.92
Total Medical Medicare Payment Amount 8970.36
Total Medical Medicare Standardized Payment Amount 6728.83
Average Age Of Beneficiaries 73
Number Of Beneficiaries Age Less65 12
Number Of Beneficiaries Age 65 to 74 23
Number Of Beneficiaries Age 75 to 84 24
Number Of Beneficiaries Age Greater 84 11
Number Of Female Beneficiaries 44
Number Of Male Beneficiaries 26
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 19
Percent Of With Chronic Kidney Disease
Percent Of With Chronic Obstructive Pulmonary Disease
Percent Of With Depression 29
Percent Of With Diabetes 21
Percent Of With Hyperlipidemia 41
Percent Of With Hypertension 53
Percent Of With Ischemic Heart Disease 49
Percent Of With Osteoporosis 16
Percent Of With Rheumatoid Arthritis Osteoarthritis 47
Percent Of With Schizophrenia Other PsychoticDisorders
Percent Of With Stroke
Average HCC Risk Score Of Beneficiaries 1.3464

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