National Provider Identifier [NPI]: |
1548589120 |
Last Name Of The Provider |
HOOD |
First Name Of The Provider |
BRENDA |
Middle Initial Of The Provider |
J |
Credentials Of The Provider |
FNP |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1557 PEAVINE RD |
Street Address 2 Of The Provider |
|
City Of The Provider |
COLDWATER |
Zip Code Of The Provider |
386184152 |
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 |
68 |
Number Of Services |
5685 |
Number Of Medicare Beneficiaries |
492 |
Total Submitted Charge Amount |
309234 |
Total Medicare Allowed Amount |
139483 |
Total Medicare Payment Amount |
103433.99 |
Total Medicare Standardized Payment Amount |
129999.87 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
9 |
Number Of Drug Services |
903 |
Number Of Medicare Beneficiaries With Drug Services |
197 |
Total Drug Submitted ChargeAmount |
20330 |
Total Drug Medicare AllowedAmount |
1413.06 |
Total Drug Medicare PaymentAmount |
1285.36 |
Total Drug Medicare Standardized Payment Amount |
1285.36 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
59 |
Number Of Medical Services |
4782 |
Number Of Medicare Beneficiaries With Medical Services |
492 |
Total Medical Submitted Charge Amount |
288904 |
Total Medical Medicare Allowed Amount |
138069.94 |
Total Medical Medicare Payment Amount |
102148.63 |
Total Medical Medicare Standardized Payment Amount |
128714.51 |
Average Age Of Beneficiaries |
68 |
Number Of Beneficiaries Age Less65 |
138 |
Number Of Beneficiaries Age 65 to 74 |
206 |
Number Of Beneficiaries Age 75 to 84 |
109 |
Number Of Beneficiaries Age Greater 84 |
39 |
Number Of Female Beneficiaries |
326 |
Number Of Male Beneficiaries |
166 |
Number Of Non Hispanic White Beneficiaries |
286 |
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 |
275 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
217 |
Percent Of With Atrial Fibrillation |
8 |
Percent Of With Alzheimers Disease or Dementia |
8 |
Percent Of With Asthma |
4 |
Percent Of With Cancer |
8 |
Percent Of With Heart Failure |
22 |
Percent Of With Chronic Kidney Disease |
29 |
Percent Of With Chronic Obstructive Pulmonary Disease |
17 |
Percent Of With Depression |
15 |
Percent Of With Diabetes |
45 |
Percent Of With Hyperlipidemia |
58 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
33 |
Percent Of With Osteoporosis |
7 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
31 |
Percent Of With Schizophrenia Other PsychoticDisorders |
2 |
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
1.3427 |