National Provider Identifier [NPI]: |
1104889864 |
Last Name Of The Provider |
REDEMANN |
First Name Of The Provider |
SARAH |
Middle Initial Of The Provider |
J |
Credentials Of The Provider |
NP |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
5618 ODANA RD |
Street Address 2 Of The Provider |
|
City Of The Provider |
MADISON |
Zip Code Of The Provider |
537191208 |
State Code Of The Provider |
WI |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Nurse Practitioner |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
84 |
Number Of Services |
846 |
Number Of Medicare Beneficiaries |
261 |
Total Submitted Charge Amount |
91141 |
Total Medicare Allowed Amount |
28323.99 |
Total Medicare Payment Amount |
19826.39 |
Total Medicare Standardized Payment Amount |
23840.51 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
12 |
Number Of Drug Services |
70 |
Number Of Medicare Beneficiaries With Drug Services |
32 |
Total Drug Submitted ChargeAmount |
2148 |
Total Drug Medicare AllowedAmount |
1098.86 |
Total Drug Medicare PaymentAmount |
1057.73 |
Total Drug Medicare Standardized Payment Amount |
1057.73 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
72 |
Number Of Medical Services |
776 |
Number Of Medicare Beneficiaries With Medical Services |
261 |
Total Medical Submitted Charge Amount |
88993 |
Total Medical Medicare Allowed Amount |
27225.13 |
Total Medical Medicare Payment Amount |
18768.66 |
Total Medical Medicare Standardized Payment Amount |
22782.78 |
Average Age Of Beneficiaries |
70 |
Number Of Beneficiaries Age Less65 |
44 |
Number Of Beneficiaries Age 65 to 74 |
126 |
Number Of Beneficiaries Age 75 to 84 |
62 |
Number Of Beneficiaries Age Greater 84 |
29 |
Number Of Female Beneficiaries |
142 |
Number Of Male Beneficiaries |
119 |
Number Of Non Hispanic White Beneficiaries |
236 |
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 |
214 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
47 |
Percent Of With Atrial Fibrillation |
8 |
Percent Of With Alzheimers Disease or Dementia |
5 |
Percent Of With Asthma |
5 |
Percent Of With Cancer |
8 |
Percent Of With Heart Failure |
10 |
Percent Of With Chronic Kidney Disease |
20 |
Percent Of With Chronic Obstructive Pulmonary Disease |
|
Percent Of With Depression |
25 |
Percent Of With Diabetes |
21 |
Percent Of With Hyperlipidemia |
39 |
Percent Of With Hypertension |
49 |
Percent Of With Ischemic Heart Disease |
20 |
Percent Of With Osteoporosis |
5 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
28 |
Percent Of With Schizophrenia Other PsychoticDisorders |
5 |
Percent Of With Stroke |
|
Average HCC Risk Score Of Beneficiaries |
0.9245 |