National Provider Identifier [NPI]: |
1942390174 |
Last Name Of The Provider |
HAYDEN |
First Name Of The Provider |
CATHERINE |
Middle Initial Of The Provider |
O |
Credentials Of The Provider |
|
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
2501 PARK PLZ |
Street Address 2 Of The Provider |
BUILDING ONE |
City Of The Provider |
NASHVILLE |
Zip Code Of The Provider |
372031512 |
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 |
28 |
Number Of Services |
348 |
Number Of Medicare Beneficiaries |
232 |
Total Submitted Charge Amount |
34539 |
Total Medicare Allowed Amount |
14706.38 |
Total Medicare Payment Amount |
9524.96 |
Total Medicare Standardized Payment Amount |
12599.39 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
12 |
Number Of Drug Services |
66 |
Number Of Medicare Beneficiaries With Drug Services |
24 |
Total Drug Submitted ChargeAmount |
786 |
Total Drug Medicare AllowedAmount |
225.19 |
Total Drug Medicare PaymentAmount |
192.58 |
Total Drug Medicare Standardized Payment Amount |
192.58 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
16 |
Number Of Medical Services |
282 |
Number Of Medicare Beneficiaries With Medical Services |
232 |
Total Medical Submitted Charge Amount |
33753 |
Total Medical Medicare Allowed Amount |
14481.19 |
Total Medical Medicare Payment Amount |
9332.38 |
Total Medical Medicare Standardized Payment Amount |
12406.81 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
37 |
Number Of Beneficiaries Age 65 to 74 |
98 |
Number Of Beneficiaries Age 75 to 84 |
60 |
Number Of Beneficiaries Age Greater 84 |
37 |
Number Of Female Beneficiaries |
151 |
Number Of Male Beneficiaries |
81 |
Number Of Non Hispanic White Beneficiaries |
204 |
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 |
201 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
31 |
Percent Of With Atrial Fibrillation |
11 |
Percent Of With Alzheimers Disease or Dementia |
12 |
Percent Of With Asthma |
11 |
Percent Of With Cancer |
9 |
Percent Of With Heart Failure |
19 |
Percent Of With Chronic Kidney Disease |
22 |
Percent Of With Chronic Obstructive Pulmonary Disease |
15 |
Percent Of With Depression |
30 |
Percent Of With Diabetes |
31 |
Percent Of With Hyperlipidemia |
43 |
Percent Of With Hypertension |
70 |
Percent Of With Ischemic Heart Disease |
38 |
Percent Of With Osteoporosis |
6 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
42 |
Percent Of With Schizophrenia Other PsychoticDisorders |
6 |
Percent Of With Stroke |
|
Average HCC Risk Score Of Beneficiaries |
1.2061 |