National Provider Identifier [NPI]: |
1598957607 |
Last Name Of The Provider |
BENSON |
First Name Of The Provider |
ANGELLA |
Middle Initial Of The Provider |
M |
Credentials Of The Provider |
ARNP |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
990 TAMIAMI TRL N |
Street Address 2 Of The Provider |
|
City Of The Provider |
NAPLES |
Zip Code Of The Provider |
341025403 |
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 |
30 |
Number Of Services |
2151 |
Number Of Medicare Beneficiaries |
489 |
Total Submitted Charge Amount |
230866 |
Total Medicare Allowed Amount |
135881.51 |
Total Medicare Payment Amount |
103131.25 |
Total Medicare Standardized Payment Amount |
117055.63 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
4 |
Number Of Drug Services |
509 |
Number Of Medicare Beneficiaries With Drug Services |
58 |
Total Drug Submitted ChargeAmount |
15860 |
Total Drug Medicare AllowedAmount |
6287.13 |
Total Drug Medicare PaymentAmount |
4923.45 |
Total Drug Medicare Standardized Payment Amount |
4923.45 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
26 |
Number Of Medical Services |
1642 |
Number Of Medicare Beneficiaries With Medical Services |
489 |
Total Medical Submitted Charge Amount |
215006 |
Total Medical Medicare Allowed Amount |
129594.38 |
Total Medical Medicare Payment Amount |
98207.8 |
Total Medical Medicare Standardized Payment Amount |
112132.18 |
Average Age Of Beneficiaries |
72 |
Number Of Beneficiaries Age Less65 |
71 |
Number Of Beneficiaries Age 65 to 74 |
206 |
Number Of Beneficiaries Age 75 to 84 |
166 |
Number Of Beneficiaries Age Greater 84 |
46 |
Number Of Female Beneficiaries |
291 |
Number Of Male Beneficiaries |
198 |
Number Of Non Hispanic White Beneficiaries |
454 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
21 |
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
440 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
49 |
Percent Of With Atrial Fibrillation |
11 |
Percent Of With Alzheimers Disease or Dementia |
7 |
Percent Of With Asthma |
9 |
Percent Of With Cancer |
12 |
Percent Of With Heart Failure |
13 |
Percent Of With Chronic Kidney Disease |
21 |
Percent Of With Chronic Obstructive Pulmonary Disease |
16 |
Percent Of With Depression |
22 |
Percent Of With Diabetes |
29 |
Percent Of With Hyperlipidemia |
65 |
Percent Of With Hypertension |
68 |
Percent Of With Ischemic Heart Disease |
37 |
Percent Of With Osteoporosis |
12 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
71 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
4 |
Average HCC Risk Score Of Beneficiaries |
1.208 |