National Provider Identifier [NPI]: |
1417041401 |
Last Name Of The Provider |
GARNETT |
First Name Of The Provider |
CATHRYN |
Middle Initial Of The Provider |
L |
Credentials Of The Provider |
FNP |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
3475 W ALTON GLOOR BLVD |
Street Address 2 Of The Provider |
SUITE E |
City Of The Provider |
BROWNSVILLE |
Zip Code Of The Provider |
785209277 |
State Code Of The Provider |
TX |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Nurse Practitioner |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
76 |
Number Of Services |
2685 |
Number Of Medicare Beneficiaries |
147 |
Total Submitted Charge Amount |
278905 |
Total Medicare Allowed Amount |
61193.46 |
Total Medicare Payment Amount |
43167.13 |
Total Medicare Standardized Payment Amount |
51547.02 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
7 |
Number Of Drug Services |
338 |
Number Of Medicare Beneficiaries With Drug Services |
57 |
Total Drug Submitted ChargeAmount |
3418 |
Total Drug Medicare AllowedAmount |
282.55 |
Total Drug Medicare PaymentAmount |
214.4 |
Total Drug Medicare Standardized Payment Amount |
214.4 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
69 |
Number Of Medical Services |
2347 |
Number Of Medicare Beneficiaries With Medical Services |
147 |
Total Medical Submitted Charge Amount |
275487 |
Total Medical Medicare Allowed Amount |
60910.91 |
Total Medical Medicare Payment Amount |
42952.73 |
Total Medical Medicare Standardized Payment Amount |
51332.62 |
Average Age Of Beneficiaries |
66 |
Number Of Beneficiaries Age Less65 |
49 |
Number Of Beneficiaries Age 65 to 74 |
60 |
Number Of Beneficiaries Age 75 to 84 |
27 |
Number Of Beneficiaries Age Greater 84 |
11 |
Number Of Female Beneficiaries |
97 |
Number Of Male Beneficiaries |
50 |
Number Of Non Hispanic White Beneficiaries |
|
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
97 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
62 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
85 |
Percent Of With Atrial Fibrillation |
|
Percent Of With Alzheimers Disease or Dementia |
10 |
Percent Of With Asthma |
8 |
Percent Of With Cancer |
|
Percent Of With Heart Failure |
11 |
Percent Of With Chronic Kidney Disease |
22 |
Percent Of With Chronic Obstructive Pulmonary Disease |
18 |
Percent Of With Depression |
24 |
Percent Of With Diabetes |
44 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
41 |
Percent Of With Osteoporosis |
18 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
48 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
|
Average HCC Risk Score Of Beneficiaries |
1.2336 |