National Provider Identifier [NPI]: |
1366407090 |
Last Name Of The Provider |
BROSICK |
First Name Of The Provider |
DARLENE |
Middle Initial Of The Provider |
D |
Credentials Of The Provider |
APRN |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
115 HUSTON DR STE 1 |
Street Address 2 Of The Provider |
|
City Of The Provider |
SHEPHERDSVILLE |
Zip Code Of The Provider |
401657250 |
State Code Of The Provider |
KY |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Nurse Practitioner |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
55 |
Number Of Services |
1475 |
Number Of Medicare Beneficiaries |
326 |
Total Submitted Charge Amount |
90275 |
Total Medicare Allowed Amount |
52908.57 |
Total Medicare Payment Amount |
33138.73 |
Total Medicare Standardized Payment Amount |
44329.27 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
9 |
Number Of Drug Services |
119 |
Number Of Medicare Beneficiaries With Drug Services |
63 |
Total Drug Submitted ChargeAmount |
3477 |
Total Drug Medicare AllowedAmount |
1686.47 |
Total Drug Medicare PaymentAmount |
1616.55 |
Total Drug Medicare Standardized Payment Amount |
1616.55 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
46 |
Number Of Medical Services |
1356 |
Number Of Medicare Beneficiaries With Medical Services |
325 |
Total Medical Submitted Charge Amount |
86798 |
Total Medical Medicare Allowed Amount |
51222.1 |
Total Medical Medicare Payment Amount |
31522.18 |
Total Medical Medicare Standardized Payment Amount |
42712.72 |
Average Age Of Beneficiaries |
71 |
Number Of Beneficiaries Age Less65 |
62 |
Number Of Beneficiaries Age 65 to 74 |
145 |
Number Of Beneficiaries Age 75 to 84 |
90 |
Number Of Beneficiaries Age Greater 84 |
29 |
Number Of Female Beneficiaries |
231 |
Number Of Male Beneficiaries |
95 |
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 |
281 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
45 |
Percent Of With Atrial Fibrillation |
11 |
Percent Of With Alzheimers Disease or Dementia |
6 |
Percent Of With Asthma |
4 |
Percent Of With Cancer |
9 |
Percent Of With Heart Failure |
13 |
Percent Of With Chronic Kidney Disease |
16 |
Percent Of With Chronic Obstructive Pulmonary Disease |
17 |
Percent Of With Depression |
16 |
Percent Of With Diabetes |
33 |
Percent Of With Hyperlipidemia |
43 |
Percent Of With Hypertension |
59 |
Percent Of With Ischemic Heart Disease |
30 |
Percent Of With Osteoporosis |
5 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
31 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
|
Average HCC Risk Score Of Beneficiaries |
0.9767 |