National Provider Identifier [NPI]: |
1821230939 |
Last Name Of The Provider |
MCREYNOLDS |
First Name Of The Provider |
ABIGAIL |
Middle Initial Of The Provider |
N |
Credentials Of The Provider |
PA-C |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
3010 WILLIAMS DR |
Street Address 2 Of The Provider |
SUITE 177 |
City Of The Provider |
GEORGETOWN |
Zip Code Of The Provider |
786282764 |
State Code Of The Provider |
TX |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Physician Assistant |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
35 |
Number Of Services |
2785 |
Number Of Medicare Beneficiaries |
337 |
Total Submitted Charge Amount |
242469.25 |
Total Medicare Allowed Amount |
117230.95 |
Total Medicare Payment Amount |
84605.25 |
Total Medicare Standardized Payment Amount |
99627.25 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
1 |
Number Of Drug Services |
35 |
Number Of Medicare Beneficiaries With Drug Services |
15 |
Total Drug Submitted ChargeAmount |
201.25 |
Total Drug Medicare AllowedAmount |
62.32 |
Total Drug Medicare PaymentAmount |
48.87 |
Total Drug Medicare Standardized Payment Amount |
48.87 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
34 |
Number Of Medical Services |
2750 |
Number Of Medicare Beneficiaries With Medical Services |
337 |
Total Medical Submitted Charge Amount |
242268 |
Total Medical Medicare Allowed Amount |
117168.63 |
Total Medical Medicare Payment Amount |
84556.38 |
Total Medical Medicare Standardized Payment Amount |
99578.38 |
Average Age Of Beneficiaries |
72 |
Number Of Beneficiaries Age Less65 |
26 |
Number Of Beneficiaries Age 65 to 74 |
197 |
Number Of Beneficiaries Age 75 to 84 |
92 |
Number Of Beneficiaries Age Greater 84 |
22 |
Number Of Female Beneficiaries |
202 |
Number Of Male Beneficiaries |
135 |
Number Of Non Hispanic White Beneficiaries |
311 |
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 |
311 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
26 |
Percent Of With Atrial Fibrillation |
9 |
Percent Of With Alzheimers Disease or Dementia |
7 |
Percent Of With Asthma |
7 |
Percent Of With Cancer |
12 |
Percent Of With Heart Failure |
13 |
Percent Of With Chronic Kidney Disease |
14 |
Percent Of With Chronic Obstructive Pulmonary Disease |
11 |
Percent Of With Depression |
16 |
Percent Of With Diabetes |
22 |
Percent Of With Hyperlipidemia |
58 |
Percent Of With Hypertension |
57 |
Percent Of With Ischemic Heart Disease |
26 |
Percent Of With Osteoporosis |
9 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
40 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
4 |
Average HCC Risk Score Of Beneficiaries |
0.84 |