Medicare Facts for Neissa R. Boehm, RN


National Provider Identifier [NPI]: 1588897490
Last Name Of The Provider BOEHM
First Name Of The Provider NEISSA
Middle Initial Of The Provider R
Credentials Of The Provider RN, CNP
Gender Of The Provider F
Entity Type Of The Provider I
Street Address 1 Of The Provider 1101 9TH ST N
Street Address 2 Of The Provider DULUTH CLINIC VIRGINIA
City Of The Provider VIRGINIA
Zip Code Of The Provider 557922329
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 9
Number Of Services 403
Number Of Medicare Beneficiaries 181
Total Submitted Charge Amount 45629
Total Medicare Allowed Amount 23186.53
Total Medicare Payment Amount 16431.36
Total Medicare Standardized Payment Amount 20248.76
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 9
Number Of Medical Services 403
Number Of Medicare Beneficiaries With Medical Services 181
Total Medical Submitted Charge Amount 45629
Total Medical Medicare Allowed Amount 23186.53
Total Medical Medicare Payment Amount 16431.36
Total Medical Medicare Standardized Payment Amount 20248.76
Average Age Of Beneficiaries 74
Number Of Beneficiaries Age Less65 43
Number Of Beneficiaries Age 65 to 74 43
Number Of Beneficiaries Age 75 to 84 41
Number Of Beneficiaries Age Greater 84 54
Number Of Female Beneficiaries 120
Number Of Male Beneficiaries 61
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 118
Number Of Beneficiaries With Medicare Medicaid Entitlement 63
Percent Of With Atrial Fibrillation 13
Percent Of With Alzheimers Disease or Dementia 19
Percent Of With Asthma
Percent Of With Cancer 10
Percent Of With Heart Failure 29
Percent Of With Chronic Kidney Disease 38
Percent Of With Chronic Obstructive Pulmonary Disease 18
Percent Of With Depression 22
Percent Of With Diabetes 30
Percent Of With Hyperlipidemia 51
Percent Of With Hypertension 75
Percent Of With Ischemic Heart Disease 43
Percent Of With Osteoporosis 8
Percent Of With Rheumatoid Arthritis Osteoarthritis 43
Percent Of With Schizophrenia Other PsychoticDisorders 10
Percent Of With Stroke
Average HCC Risk Score Of Beneficiaries 1.6072

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