National Provider Identifier [NPI]: |
1700884830 |
Last Name Of The Provider |
BEEMAN |
First Name Of The Provider |
CHAD |
Middle Initial Of The Provider |
A |
Credentials Of The Provider |
CFNP |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
17609 OLD JEFFERSON HWY |
Street Address 2 Of The Provider |
|
City Of The Provider |
PRAIRIEVILLE |
Zip Code Of The Provider |
707693979 |
State Code Of The Provider |
LA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Nurse Practitioner |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
16 |
Number Of Services |
318 |
Number Of Medicare Beneficiaries |
111 |
Total Submitted Charge Amount |
25243 |
Total Medicare Allowed Amount |
13204.62 |
Total Medicare Payment Amount |
8169.85 |
Total Medicare Standardized Payment Amount |
10897.95 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
5 |
Number Of Drug Services |
121 |
Number Of Medicare Beneficiaries With Drug Services |
21 |
Total Drug Submitted ChargeAmount |
1010 |
Total Drug Medicare AllowedAmount |
184.36 |
Total Drug Medicare PaymentAmount |
175.51 |
Total Drug Medicare Standardized Payment Amount |
175.51 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
11 |
Number Of Medical Services |
197 |
Number Of Medicare Beneficiaries With Medical Services |
111 |
Total Medical Submitted Charge Amount |
24233 |
Total Medical Medicare Allowed Amount |
13020.26 |
Total Medical Medicare Payment Amount |
7994.34 |
Total Medical Medicare Standardized Payment Amount |
10722.44 |
Average Age Of Beneficiaries |
67 |
Number Of Beneficiaries Age Less65 |
32 |
Number Of Beneficiaries Age 65 to 74 |
52 |
Number Of Beneficiaries Age 75 to 84 |
|
Number Of Beneficiaries Age Greater 84 |
|
Number Of Female Beneficiaries |
71 |
Number Of Male Beneficiaries |
40 |
Number Of Non Hispanic White Beneficiaries |
89 |
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 |
85 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
26 |
Percent Of With Atrial Fibrillation |
|
Percent Of With Alzheimers Disease or Dementia |
|
Percent Of With Asthma |
11 |
Percent Of With Cancer |
|
Percent Of With Heart Failure |
16 |
Percent Of With Chronic Kidney Disease |
14 |
Percent Of With Chronic Obstructive Pulmonary Disease |
17 |
Percent Of With Depression |
33 |
Percent Of With Diabetes |
35 |
Percent Of With Hyperlipidemia |
67 |
Percent Of With Hypertension |
69 |
Percent Of With Ischemic Heart Disease |
31 |
Percent Of With Osteoporosis |
|
Percent Of With Rheumatoid Arthritis Osteoarthritis |
37 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
|
Average HCC Risk Score Of Beneficiaries |
0.9653 |