National Provider Identifier [NPI]: |
1912977059 |
Last Name Of The Provider |
NORRIS |
First Name Of The Provider |
BROOKE |
Middle Initial Of The Provider |
W |
Credentials Of The Provider |
PA-C |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
2613 HOSPITAL RD |
Street Address 2 Of The Provider |
|
City Of The Provider |
GOLDSBORO |
Zip Code Of The Provider |
275349424 |
State Code Of The Provider |
NC |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Physician Assistant |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
71 |
Number Of Services |
3170 |
Number Of Medicare Beneficiaries |
482 |
Total Submitted Charge Amount |
246788.93 |
Total Medicare Allowed Amount |
191426.62 |
Total Medicare Payment Amount |
140469.24 |
Total Medicare Standardized Payment Amount |
173259.97 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
155 |
Number Of Medicare Beneficiaries With Drug Services |
68 |
Total Drug Submitted ChargeAmount |
19199.14 |
Total Drug Medicare AllowedAmount |
18936.95 |
Total Drug Medicare PaymentAmount |
13751.99 |
Total Drug Medicare Standardized Payment Amount |
13751.99 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
69 |
Number Of Medical Services |
3015 |
Number Of Medicare Beneficiaries With Medical Services |
482 |
Total Medical Submitted Charge Amount |
227589.79 |
Total Medical Medicare Allowed Amount |
172489.67 |
Total Medical Medicare Payment Amount |
126717.25 |
Total Medical Medicare Standardized Payment Amount |
159507.98 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
33 |
Number Of Beneficiaries Age 65 to 74 |
244 |
Number Of Beneficiaries Age 75 to 84 |
151 |
Number Of Beneficiaries Age Greater 84 |
54 |
Number Of Female Beneficiaries |
289 |
Number Of Male Beneficiaries |
193 |
Number Of Non Hispanic White Beneficiaries |
458 |
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 |
451 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
31 |
Percent Of With Atrial Fibrillation |
10 |
Percent Of With Alzheimers Disease or Dementia |
9 |
Percent Of With Asthma |
4 |
Percent Of With Cancer |
10 |
Percent Of With Heart Failure |
12 |
Percent Of With Chronic Kidney Disease |
21 |
Percent Of With Chronic Obstructive Pulmonary Disease |
12 |
Percent Of With Depression |
16 |
Percent Of With Diabetes |
28 |
Percent Of With Hyperlipidemia |
61 |
Percent Of With Hypertension |
68 |
Percent Of With Ischemic Heart Disease |
33 |
Percent Of With Osteoporosis |
8 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
35 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
3 |
Average HCC Risk Score Of Beneficiaries |
0.902 |