Medicare Facts for Theresa M. Stapon, CRNA


National Provider Identifier [NPI]: 1275556359
Last Name Of The Provider STAPON
First Name Of The Provider THERESA
Middle Initial Of The Provider M
Credentials Of The Provider CRNA
Gender Of The Provider F
Entity Type Of The Provider I
Street Address 1 Of The Provider 333 ROUTE 25A STE 225
Street Address 2 Of The Provider
City Of The Provider ROCKY POINT
Zip Code Of The Provider 117788802
State Code Of The Provider NY
Country Code Of The Provider US
Provider Type Of The Provider CRNA
Medicare Participation Indicator Y
Number Of HCPCS 57
Number Of Services 265
Number Of Medicare Beneficiaries 257
Total Submitted Charge Amount 701325
Total Medicare Allowed Amount 36219.33
Total Medicare Payment Amount 28283.9
Total Medicare Standardized Payment Amount 24902
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 57
Number Of Medical Services 265
Number Of Medicare Beneficiaries With Medical Services 257
Total Medical Submitted Charge Amount 701325
Total Medical Medicare Allowed Amount 36219.33
Total Medical Medicare Payment Amount 28283.9
Total Medical Medicare Standardized Payment Amount 24902
Average Age Of Beneficiaries 71
Number Of Beneficiaries Age Less65 43
Number Of Beneficiaries Age 65 to 74 119
Number Of Beneficiaries Age 75 to 84 65
Number Of Beneficiaries Age Greater 84 30
Number Of Female Beneficiaries 140
Number Of Male Beneficiaries 117
Number Of Non Hispanic White Beneficiaries 227
Number Of Black or African American Beneficiaries
Number Of AsianPacific Islander Beneficiaries
Number Of Hispanic Beneficiaries 12
Number Of American Indian Alaska Native Beneficiaries
Number Of Beneficiaries With Race Not Else where Classified
Number Of Beneficiaries With Medicare Only Entitlement 205
Number Of Beneficiaries With Medicare Medicaid Entitlement 52
Percent Of With Atrial Fibrillation 14
Percent Of With Alzheimers Disease or Dementia 12
Percent Of With Asthma 12
Percent Of With Cancer 11
Percent Of With Heart Failure 25
Percent Of With Chronic Kidney Disease 26
Percent Of With Chronic Obstructive Pulmonary Disease 23
Percent Of With Depression 22
Percent Of With Diabetes 37
Percent Of With Hyperlipidemia 69
Percent Of With Hypertension 75
Percent Of With Ischemic Heart Disease 48
Percent Of With Osteoporosis 10
Percent Of With Rheumatoid Arthritis Osteoarthritis 54
Percent Of With Schizophrenia Other PsychoticDisorders
Percent Of With Stroke 5
Average HCC Risk Score Of Beneficiaries 1.618

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