National Provider Identifier [NPI]: |
1912019605 |
Last Name Of The Provider |
PARISH |
First Name Of The Provider |
CATHY |
Middle Initial Of The Provider |
J |
Credentials Of The Provider |
FNPC |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
123 WESTERN HILLS BLVD |
Street Address 2 Of The Provider |
|
City Of The Provider |
CHEYENNE |
Zip Code Of The Provider |
820093446 |
State Code Of The Provider |
WY |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Nurse Practitioner |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
48 |
Number Of Services |
4701 |
Number Of Medicare Beneficiaries |
872 |
Total Submitted Charge Amount |
249108 |
Total Medicare Allowed Amount |
177657 |
Total Medicare Payment Amount |
125925.41 |
Total Medicare Standardized Payment Amount |
140880.22 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
36 |
Number Of Medicare Beneficiaries With Drug Services |
27 |
Total Drug Submitted ChargeAmount |
1350 |
Total Drug Medicare AllowedAmount |
806 |
Total Drug Medicare PaymentAmount |
627.65 |
Total Drug Medicare Standardized Payment Amount |
627.65 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
46 |
Number Of Medical Services |
4665 |
Number Of Medicare Beneficiaries With Medical Services |
872 |
Total Medical Submitted Charge Amount |
247758 |
Total Medical Medicare Allowed Amount |
176851 |
Total Medical Medicare Payment Amount |
125297.76 |
Total Medical Medicare Standardized Payment Amount |
140252.57 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
68 |
Number Of Beneficiaries Age 65 to 74 |
430 |
Number Of Beneficiaries Age 75 to 84 |
282 |
Number Of Beneficiaries Age Greater 84 |
92 |
Number Of Female Beneficiaries |
487 |
Number Of Male Beneficiaries |
385 |
Number Of Non Hispanic White Beneficiaries |
808 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
35 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
787 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
85 |
Percent Of With Atrial Fibrillation |
10 |
Percent Of With Alzheimers Disease or Dementia |
7 |
Percent Of With Asthma |
7 |
Percent Of With Cancer |
9 |
Percent Of With Heart Failure |
9 |
Percent Of With Chronic Kidney Disease |
13 |
Percent Of With Chronic Obstructive Pulmonary Disease |
11 |
Percent Of With Depression |
17 |
Percent Of With Diabetes |
20 |
Percent Of With Hyperlipidemia |
39 |
Percent Of With Hypertension |
49 |
Percent Of With Ischemic Heart Disease |
22 |
Percent Of With Osteoporosis |
4 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
33 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
2 |
Average HCC Risk Score Of Beneficiaries |
0.887 |