National Provider Identifier [NPI]: |
1023445012 |
Last Name Of The Provider |
MCGINTY |
First Name Of The Provider |
CATHERINE |
Middle Initial Of The Provider |
D |
Credentials Of The Provider |
FNP |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1632 PINE ST |
Street Address 2 Of The Provider |
|
City Of The Provider |
PHILADELPHIA |
Zip Code Of The Provider |
191036711 |
State Code Of The Provider |
PA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Nurse Practitioner |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
23 |
Number Of Services |
325 |
Number Of Medicare Beneficiaries |
198 |
Total Submitted Charge Amount |
16280.1 |
Total Medicare Allowed Amount |
14284.24 |
Total Medicare Payment Amount |
11192 |
Total Medicare Standardized Payment Amount |
12580.99 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
8 |
Number Of Drug Services |
90 |
Number Of Medicare Beneficiaries With Drug Services |
87 |
Total Drug Submitted ChargeAmount |
2861.1 |
Total Drug Medicare AllowedAmount |
2783.27 |
Total Drug Medicare PaymentAmount |
2685.89 |
Total Drug Medicare Standardized Payment Amount |
2685.89 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
15 |
Number Of Medical Services |
235 |
Number Of Medicare Beneficiaries With Medical Services |
198 |
Total Medical Submitted Charge Amount |
13419 |
Total Medical Medicare Allowed Amount |
11500.97 |
Total Medical Medicare Payment Amount |
8506.11 |
Total Medical Medicare Standardized Payment Amount |
9895.1 |
Average Age Of Beneficiaries |
71 |
Number Of Beneficiaries Age Less65 |
26 |
Number Of Beneficiaries Age 65 to 74 |
103 |
Number Of Beneficiaries Age 75 to 84 |
42 |
Number Of Beneficiaries Age Greater 84 |
27 |
Number Of Female Beneficiaries |
130 |
Number Of Male Beneficiaries |
68 |
Number Of Non Hispanic White Beneficiaries |
179 |
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 |
168 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
30 |
Percent Of With Atrial Fibrillation |
6 |
Percent Of With Alzheimers Disease or Dementia |
|
Percent Of With Asthma |
6 |
Percent Of With Cancer |
7 |
Percent Of With Heart Failure |
|
Percent Of With Chronic Kidney Disease |
8 |
Percent Of With Chronic Obstructive Pulmonary Disease |
|
Percent Of With Depression |
19 |
Percent Of With Diabetes |
11 |
Percent Of With Hyperlipidemia |
39 |
Percent Of With Hypertension |
48 |
Percent Of With Ischemic Heart Disease |
19 |
Percent Of With Osteoporosis |
12 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
28 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
|
Average HCC Risk Score Of Beneficiaries |
0.7323 |