National Provider Identifier [NPI]: |
1306177498 |
Last Name Of The Provider |
TUCCI |
First Name Of The Provider |
ALLISON |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
ARNP |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
685 PALM SPRINGS DR |
Street Address 2 Of The Provider |
SUITE 2A |
City Of The Provider |
ALTAMONTE SPRINGS |
Zip Code Of The Provider |
327017853 |
State Code Of The Provider |
FL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Nurse Practitioner |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
24 |
Number Of Services |
20700 |
Number Of Medicare Beneficiaries |
562 |
Total Submitted Charge Amount |
379142 |
Total Medicare Allowed Amount |
187742.33 |
Total Medicare Payment Amount |
143660.99 |
Total Medicare Standardized Payment Amount |
166062.07 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
8 |
Number Of Drug Services |
17796 |
Number Of Medicare Beneficiaries With Drug Services |
29 |
Total Drug Submitted ChargeAmount |
73806 |
Total Drug Medicare AllowedAmount |
21911.18 |
Total Drug Medicare PaymentAmount |
17178.28 |
Total Drug Medicare Standardized Payment Amount |
17178.28 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
16 |
Number Of Medical Services |
2904 |
Number Of Medicare Beneficiaries With Medical Services |
562 |
Total Medical Submitted Charge Amount |
305336 |
Total Medical Medicare Allowed Amount |
165831.15 |
Total Medical Medicare Payment Amount |
126482.71 |
Total Medical Medicare Standardized Payment Amount |
148883.79 |
Average Age Of Beneficiaries |
77 |
Number Of Beneficiaries Age Less65 |
82 |
Number Of Beneficiaries Age 65 to 74 |
110 |
Number Of Beneficiaries Age 75 to 84 |
186 |
Number Of Beneficiaries Age Greater 84 |
184 |
Number Of Female Beneficiaries |
332 |
Number Of Male Beneficiaries |
230 |
Number Of Non Hispanic White Beneficiaries |
414 |
Number Of Black or African American Beneficiaries |
63 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
72 |
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
272 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
290 |
Percent Of With Atrial Fibrillation |
31 |
Percent Of With Alzheimers Disease or Dementia |
62 |
Percent Of With Asthma |
11 |
Percent Of With Cancer |
16 |
Percent Of With Heart Failure |
57 |
Percent Of With Chronic Kidney Disease |
62 |
Percent Of With Chronic Obstructive Pulmonary Disease |
42 |
Percent Of With Depression |
61 |
Percent Of With Diabetes |
59 |
Percent Of With Hyperlipidemia |
71 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
71 |
Percent Of With Osteoporosis |
17 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
53 |
Percent Of With Schizophrenia Other PsychoticDisorders |
18 |
Percent Of With Stroke |
27 |
Average HCC Risk Score Of Beneficiaries |
2.944 |