National Provider Identifier [NPI]: |
1306271580 |
Last Name Of The Provider |
LESTER |
First Name Of The Provider |
ALENA |
Middle Initial Of The Provider |
A |
Credentials Of The Provider |
FNP-C |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
670 LEIGH DR |
Street Address 2 Of The Provider |
|
City Of The Provider |
COLUMBUS |
Zip Code Of The Provider |
397053014 |
State Code Of The Provider |
MS |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Nurse Practitioner |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
74 |
Number Of Services |
5695 |
Number Of Medicare Beneficiaries |
879 |
Total Submitted Charge Amount |
725307.04 |
Total Medicare Allowed Amount |
222805.67 |
Total Medicare Payment Amount |
161985.44 |
Total Medicare Standardized Payment Amount |
192906.78 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
7 |
Number Of Drug Services |
1633 |
Number Of Medicare Beneficiaries With Drug Services |
518 |
Total Drug Submitted ChargeAmount |
146911.04 |
Total Drug Medicare AllowedAmount |
60621.78 |
Total Drug Medicare PaymentAmount |
46095.46 |
Total Drug Medicare Standardized Payment Amount |
46095.46 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
67 |
Number Of Medical Services |
4062 |
Number Of Medicare Beneficiaries With Medical Services |
879 |
Total Medical Submitted Charge Amount |
578396 |
Total Medical Medicare Allowed Amount |
162183.89 |
Total Medical Medicare Payment Amount |
115889.98 |
Total Medical Medicare Standardized Payment Amount |
146811.32 |
Average Age Of Beneficiaries |
72 |
Number Of Beneficiaries Age Less65 |
159 |
Number Of Beneficiaries Age 65 to 74 |
357 |
Number Of Beneficiaries Age 75 to 84 |
253 |
Number Of Beneficiaries Age Greater 84 |
110 |
Number Of Female Beneficiaries |
618 |
Number Of Male Beneficiaries |
261 |
Number Of Non Hispanic White Beneficiaries |
651 |
Number Of Black or African American Beneficiaries |
217 |
Number Of AsianPacific Islander Beneficiaries |
0 |
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 |
651 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
228 |
Percent Of With Atrial Fibrillation |
12 |
Percent Of With Alzheimers Disease or Dementia |
9 |
Percent Of With Asthma |
6 |
Percent Of With Cancer |
8 |
Percent Of With Heart Failure |
20 |
Percent Of With Chronic Kidney Disease |
19 |
Percent Of With Chronic Obstructive Pulmonary Disease |
14 |
Percent Of With Depression |
16 |
Percent Of With Diabetes |
37 |
Percent Of With Hyperlipidemia |
57 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
30 |
Percent Of With Osteoporosis |
6 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
75 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
4 |
Average HCC Risk Score Of Beneficiaries |
1.1403 |