National Provider Identifier [NPI]: |
1336424522 |
Last Name Of The Provider |
DAY |
First Name Of The Provider |
CYNTHIA |
Middle Initial Of The Provider |
D |
Credentials Of The Provider |
NP |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
611 EAST VILLANOW STREET |
Street Address 2 Of The Provider |
|
City Of The Provider |
LAFAYETTE |
Zip Code Of The Provider |
30728 |
State Code Of The Provider |
GA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Nurse Practitioner |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
49 |
Number Of Services |
1534 |
Number Of Medicare Beneficiaries |
324 |
Total Submitted Charge Amount |
143552 |
Total Medicare Allowed Amount |
93033.36 |
Total Medicare Payment Amount |
74662.11 |
Total Medicare Standardized Payment Amount |
92661.48 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
7 |
Number Of Drug Services |
76 |
Number Of Medicare Beneficiaries With Drug Services |
66 |
Total Drug Submitted ChargeAmount |
1520 |
Total Drug Medicare AllowedAmount |
898.44 |
Total Drug Medicare PaymentAmount |
875.89 |
Total Drug Medicare Standardized Payment Amount |
875.89 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
42 |
Number Of Medical Services |
1458 |
Number Of Medicare Beneficiaries With Medical Services |
324 |
Total Medical Submitted Charge Amount |
142032 |
Total Medical Medicare Allowed Amount |
92134.92 |
Total Medical Medicare Payment Amount |
73786.22 |
Total Medical Medicare Standardized Payment Amount |
91785.59 |
Average Age Of Beneficiaries |
71 |
Number Of Beneficiaries Age Less65 |
91 |
Number Of Beneficiaries Age 65 to 74 |
92 |
Number Of Beneficiaries Age 75 to 84 |
71 |
Number Of Beneficiaries Age Greater 84 |
70 |
Number Of Female Beneficiaries |
207 |
Number Of Male Beneficiaries |
117 |
Number Of Non Hispanic White Beneficiaries |
279 |
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 |
134 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
190 |
Percent Of With Atrial Fibrillation |
15 |
Percent Of With Alzheimers Disease or Dementia |
33 |
Percent Of With Asthma |
8 |
Percent Of With Cancer |
6 |
Percent Of With Heart Failure |
40 |
Percent Of With Chronic Kidney Disease |
30 |
Percent Of With Chronic Obstructive Pulmonary Disease |
40 |
Percent Of With Depression |
53 |
Percent Of With Diabetes |
44 |
Percent Of With Hyperlipidemia |
48 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
48 |
Percent Of With Osteoporosis |
13 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
59 |
Percent Of With Schizophrenia Other PsychoticDisorders |
12 |
Percent Of With Stroke |
13 |
Average HCC Risk Score Of Beneficiaries |
2.0195 |