Medicare Facts for Suzan J. Kelly, PT


National Provider Identifier [NPI]: 1285718601
Last Name Of The Provider KELLY
First Name Of The Provider SUZAN
Middle Initial Of The Provider J
Credentials Of The Provider P.T., L..AC.
Gender Of The Provider F
Entity Type Of The Provider I
Street Address 1 Of The Provider 26621 CARMEL CENTER PL
Street Address 2 Of The Provider SUITE #201
City Of The Provider CARMEL
Zip Code Of The Provider 939238657
State Code Of The Provider CA
Country Code Of The Provider US
Provider Type Of The Provider Physical Therapist
Medicare Participation Indicator Y
Number Of HCPCS 6
Number Of Services 5092
Number Of Medicare Beneficiaries 58
Total Submitted Charge Amount 262895
Total Medicare Allowed Amount 119399.17
Total Medicare Payment Amount 91320.98
Total Medicare Standardized Payment Amount 70951.3
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 6
Number Of Medical Services 5092
Number Of Medicare Beneficiaries With Medical Services 58
Total Medical Submitted Charge Amount 262895
Total Medical Medicare Allowed Amount 119399.17
Total Medical Medicare Payment Amount 91320.98
Total Medical Medicare Standardized Payment Amount 70951.3
Average Age Of Beneficiaries 74
Number Of Beneficiaries Age Less65
Number Of Beneficiaries Age 65 to 74 29
Number Of Beneficiaries Age 75 to 84 18
Number Of Beneficiaries Age Greater 84
Number Of Female Beneficiaries 45
Number Of Male Beneficiaries 13
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
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
Percent Of With Chronic Kidney Disease
Percent Of With Chronic Obstructive Pulmonary Disease
Percent Of With Depression 19
Percent Of With Diabetes
Percent Of With Hyperlipidemia 60
Percent Of With Hypertension 34
Percent Of With Ischemic Heart Disease 21
Percent Of With Osteoporosis
Percent Of With Rheumatoid Arthritis Osteoarthritis 59
Percent Of With Schizophrenia Other PsychoticDisorders 0
Percent Of With Stroke
Average HCC Risk Score Of Beneficiaries 0.9134

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