| National Provider Identifier [NPI]: | 1366426025 |
| Last Name Of The Provider | DENNY |
| First Name Of The Provider | CATHLEEN |
| Middle Initial Of The Provider | |
| Credentials Of The Provider | FNP, MSN |
| Gender Of The Provider | F |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 1676 E MCMURRAY BLVD |
| Street Address 2 Of The Provider | CASA GRANDE REGIONAL MEDICAL CENTER URGENT CARE |
| City Of The Provider | CASA GRANDE |
| Zip Code Of The Provider | 85122 |
| State Code Of The Provider | AZ |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Nurse Practitioner |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 27 |
| Number Of Services | 244 |
| Number Of Medicare Beneficiaries | 108 |
| Total Submitted Charge Amount | 20845.04 |
| Total Medicare Allowed Amount | 11875.5 |
| Total Medicare Payment Amount | 7664.33 |
| Total Medicare Standardized Payment Amount | 9450.99 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 7 |
| Number Of Drug Services | 90 |
| Number Of Medicare Beneficiaries With Drug Services | 14 |
| Total Drug Submitted ChargeAmount | 451 |
| Total Drug Medicare AllowedAmount | 40.38 |
| Total Drug Medicare PaymentAmount | 31.64 |
| Total Drug Medicare Standardized Payment Amount | 31.64 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 20 |
| Number Of Medical Services | 154 |
| Number Of Medicare Beneficiaries With Medical Services | 108 |
| Total Medical Submitted Charge Amount | 20394.04 |
| Total Medical Medicare Allowed Amount | 11835.12 |
| Total Medical Medicare Payment Amount | 7632.69 |
| Total Medical Medicare Standardized Payment Amount | 9419.35 |
| Average Age Of Beneficiaries | 66 |
| Number Of Beneficiaries Age Less65 | 25 |
| Number Of Beneficiaries Age 65 to 74 | 62 |
| Number Of Beneficiaries Age 75 to 84 | |
| Number Of Beneficiaries Age Greater 84 | |
| Number Of Female Beneficiaries | 62 |
| Number Of Male Beneficiaries | 46 |
| Number Of Non Hispanic White Beneficiaries | |
| 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 | 91 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 17 |
| Percent Of With Atrial Fibrillation | |
| Percent Of With Alzheimers Disease or Dementia | |
| Percent Of With Asthma | |
| Percent Of With Cancer | |
| Percent Of With Heart Failure | |
| Percent Of With Chronic Kidney Disease | 15 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 10 |
| Percent Of With Depression | 30 |
| Percent Of With Diabetes | 24 |
| Percent Of With Hyperlipidemia | 44 |
| Percent Of With Hypertension | 56 |
| Percent Of With Ischemic Heart Disease | 26 |
| Percent Of With Osteoporosis | |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 48 |
| Percent Of With Schizophrenia Other PsychoticDisorders | |
| Percent Of With Stroke | |
| Average HCC Risk Score Of Beneficiaries | 0.9988 |