Medicare Facts for Sara M. Wellman, ARNP


National Provider Identifier [NPI]: 1518104561
Last Name Of The Provider WELLMAN
First Name Of The Provider SARA
Middle Initial Of The Provider M
Credentials Of The Provider ARNP
Gender Of The Provider F
Entity Type Of The Provider I
Street Address 1 Of The Provider 60 MACK WALTERS RD
Street Address 2 Of The Provider
City Of The Provider SHELBYVILLE
Zip Code Of The Provider 400651738
State Code Of The Provider KY
Country Code Of The Provider US
Provider Type Of The Provider Nurse Practitioner
Medicare Participation Indicator Y
Number Of HCPCS 13
Number Of Services 110
Number Of Medicare Beneficiaries 48
Total Submitted Charge Amount 8831
Total Medicare Allowed Amount 5817.68
Total Medicare Payment Amount 3161.89
Total Medicare Standardized Payment Amount 4592.87
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 73
Number Of Beneficiaries Age Less65
Number Of Beneficiaries Age 65 to 74 23
Number Of Beneficiaries Age 75 to 84
Number Of Beneficiaries Age Greater 84
Number Of Female Beneficiaries 32
Number Of Male Beneficiaries 16
Number Of Non Hispanic White Beneficiaries 48
Number Of Black or African American Beneficiaries 0
Number Of AsianPacific Islander Beneficiaries 0
Number Of Hispanic Beneficiaries 0
Number Of American Indian Alaska Native Beneficiaries 0
Number Of Beneficiaries With Race Not Else where Classified 0
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 29
Percent Of With Chronic Kidney Disease
Percent Of With Chronic Obstructive Pulmonary Disease 23
Percent Of With Depression 23
Percent Of With Diabetes 40
Percent Of With Hyperlipidemia 50
Percent Of With Hypertension 65
Percent Of With Ischemic Heart Disease 35
Percent Of With Osteoporosis
Percent Of With Rheumatoid Arthritis Osteoarthritis 38
Percent Of With Schizophrenia Other PsychoticDisorders
Percent Of With Stroke 0
Average HCC Risk Score Of Beneficiaries 0.8462

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