Medicare Facts for Susan M. Adams-Hayes, FNP


National Provider Identifier [NPI]: 1043268212
Last Name Of The Provider ADAMS-HAYES
First Name Of The Provider SUSAN
Middle Initial Of The Provider M
Credentials Of The Provider FNP
Gender Of The Provider F
Entity Type Of The Provider I
Street Address 1 Of The Provider 7900 W JEFFERSON BLVD
Street Address 2 Of The Provider SUITE 304
City Of The Provider FORT WAYNE
Zip Code Of The Provider 468044128
State Code Of The Provider IN
Country Code Of The Provider US
Provider Type Of The Provider Nurse Practitioner
Medicare Participation Indicator Y
Number Of HCPCS 57
Number Of Services 5020
Number Of Medicare Beneficiaries 373
Total Submitted Charge Amount 321176.41
Total Medicare Allowed Amount 178421.08
Total Medicare Payment Amount 145048.79
Total Medicare Standardized Payment Amount 154377.67
Drug Suppress Indicator
Number Of HCPCS Associated With Drug Services 4
Number Of Drug Services 86
Number Of Medicare Beneficiaries With Drug Services 28
Total Drug Submitted ChargeAmount 5754
Total Drug Medicare AllowedAmount 1750.02
Total Drug Medicare PaymentAmount 1345.11
Total Drug Medicare Standardized Payment Amount 1345.11
Medical SuppressIndicator
Number Of HCPCS Associated With MedicalServices 53
Number Of Medical Services 4934
Number Of Medicare Beneficiaries With Medical Services 373
Total Medical Submitted Charge Amount 315422.41
Total Medical Medicare Allowed Amount 176671.06
Total Medical Medicare Payment Amount 143703.68
Total Medical Medicare Standardized Payment Amount 153032.56
Average Age Of Beneficiaries 53
Number Of Beneficiaries Age Less65 298
Number Of Beneficiaries Age 65 to 74 64
Number Of Beneficiaries Age 75 to 84 11
Number Of Beneficiaries Age Greater 84 0
Number Of Female Beneficiaries 199
Number Of Male Beneficiaries 174
Number Of Non Hispanic White Beneficiaries 336
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 96
Number Of Beneficiaries With Medicare Medicaid Entitlement 277
Percent Of With Atrial Fibrillation
Percent Of With Alzheimers Disease or Dementia
Percent Of With Asthma 12
Percent Of With Cancer
Percent Of With Heart Failure 15
Percent Of With Chronic Kidney Disease 16
Percent Of With Chronic Obstructive Pulmonary Disease 34
Percent Of With Depression 52
Percent Of With Diabetes 34
Percent Of With Hyperlipidemia 37
Percent Of With Hypertension 55
Percent Of With Ischemic Heart Disease 27
Percent Of With Osteoporosis 5
Percent Of With Rheumatoid Arthritis Osteoarthritis 75
Percent Of With Schizophrenia Other PsychoticDisorders 7
Percent Of With Stroke 5
Average HCC Risk Score Of Beneficiaries 1.4915

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