National Provider Identifier [NPI]: |
1124151170 |
Last Name Of The Provider |
SMITH |
First Name Of The Provider |
BARBARA |
Middle Initial Of The Provider |
G |
Credentials Of The Provider |
FNP |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
500 MCFARLAND ST |
Street Address 2 Of The Provider |
SUITE D |
City Of The Provider |
MORRISTOWN |
Zip Code Of The Provider |
378143992 |
State Code Of The Provider |
TN |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Nurse Practitioner |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
94 |
Number Of Services |
3069 |
Number Of Medicare Beneficiaries |
235 |
Total Submitted Charge Amount |
171102 |
Total Medicare Allowed Amount |
63587.08 |
Total Medicare Payment Amount |
48415.68 |
Total Medicare Standardized Payment Amount |
58869.27 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
14 |
Number Of Drug Services |
1326 |
Number Of Medicare Beneficiaries With Drug Services |
122 |
Total Drug Submitted ChargeAmount |
16104 |
Total Drug Medicare AllowedAmount |
2355.95 |
Total Drug Medicare PaymentAmount |
1886.43 |
Total Drug Medicare Standardized Payment Amount |
1886.43 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
80 |
Number Of Medical Services |
1743 |
Number Of Medicare Beneficiaries With Medical Services |
235 |
Total Medical Submitted Charge Amount |
154998 |
Total Medical Medicare Allowed Amount |
61231.13 |
Total Medical Medicare Payment Amount |
46529.25 |
Total Medical Medicare Standardized Payment Amount |
56982.84 |
Average Age Of Beneficiaries |
67 |
Number Of Beneficiaries Age Less65 |
80 |
Number Of Beneficiaries Age 65 to 74 |
84 |
Number Of Beneficiaries Age 75 to 84 |
54 |
Number Of Beneficiaries Age Greater 84 |
17 |
Number Of Female Beneficiaries |
148 |
Number Of Male Beneficiaries |
87 |
Number Of Non Hispanic White Beneficiaries |
221 |
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 |
150 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
85 |
Percent Of With Atrial Fibrillation |
9 |
Percent Of With Alzheimers Disease or Dementia |
9 |
Percent Of With Asthma |
7 |
Percent Of With Cancer |
5 |
Percent Of With Heart Failure |
16 |
Percent Of With Chronic Kidney Disease |
23 |
Percent Of With Chronic Obstructive Pulmonary Disease |
26 |
Percent Of With Depression |
27 |
Percent Of With Diabetes |
37 |
Percent Of With Hyperlipidemia |
52 |
Percent Of With Hypertension |
73 |
Percent Of With Ischemic Heart Disease |
43 |
Percent Of With Osteoporosis |
|
Percent Of With Rheumatoid Arthritis Osteoarthritis |
66 |
Percent Of With Schizophrenia Other PsychoticDisorders |
5 |
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
1.2681 |