National Provider Identifier [NPI]: |
1962700237 |
Last Name Of The Provider |
REECE |
First Name Of The Provider |
BRITTANY |
Middle Initial Of The Provider |
M |
Credentials Of The Provider |
NP |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
408 N STATE OF FRANKLIN RD |
Street Address 2 Of The Provider |
SUITE 24 |
City Of The Provider |
JOHNSON CITY |
Zip Code Of The Provider |
376046089 |
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 |
38 |
Number Of Services |
2958 |
Number Of Medicare Beneficiaries |
667 |
Total Submitted Charge Amount |
237989.3 |
Total Medicare Allowed Amount |
82479.97 |
Total Medicare Payment Amount |
62535.09 |
Total Medicare Standardized Payment Amount |
77243.28 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
4 |
Number Of Drug Services |
1165 |
Number Of Medicare Beneficiaries With Drug Services |
18 |
Total Drug Submitted ChargeAmount |
8924.3 |
Total Drug Medicare AllowedAmount |
3311.25 |
Total Drug Medicare PaymentAmount |
2596.02 |
Total Drug Medicare Standardized Payment Amount |
2596.02 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
34 |
Number Of Medical Services |
1793 |
Number Of Medicare Beneficiaries With Medical Services |
667 |
Total Medical Submitted Charge Amount |
229065 |
Total Medical Medicare Allowed Amount |
79168.72 |
Total Medical Medicare Payment Amount |
59939.07 |
Total Medical Medicare Standardized Payment Amount |
74647.26 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
102 |
Number Of Beneficiaries Age 65 to 74 |
240 |
Number Of Beneficiaries Age 75 to 84 |
231 |
Number Of Beneficiaries Age Greater 84 |
94 |
Number Of Female Beneficiaries |
248 |
Number Of Male Beneficiaries |
419 |
Number Of Non Hispanic White Beneficiaries |
646 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
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 |
514 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
153 |
Percent Of With Atrial Fibrillation |
16 |
Percent Of With Alzheimers Disease or Dementia |
17 |
Percent Of With Asthma |
9 |
Percent Of With Cancer |
21 |
Percent Of With Heart Failure |
26 |
Percent Of With Chronic Kidney Disease |
45 |
Percent Of With Chronic Obstructive Pulmonary Disease |
25 |
Percent Of With Depression |
34 |
Percent Of With Diabetes |
39 |
Percent Of With Hyperlipidemia |
58 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
47 |
Percent Of With Osteoporosis |
7 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
41 |
Percent Of With Schizophrenia Other PsychoticDisorders |
8 |
Percent Of With Stroke |
6 |
Average HCC Risk Score Of Beneficiaries |
1.6006 |