National Provider Identifier [NPI]: |
1962593228 |
Last Name Of The Provider |
JONES-SHOOK |
First Name Of The Provider |
DEBORAH |
Middle Initial Of The Provider |
H |
Credentials Of The Provider |
C.R.N.P. |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
9 SCHILLING RD |
Street Address 2 Of The Provider |
|
City Of The Provider |
HUNT VALLEY |
Zip Code Of The Provider |
210311191 |
State Code Of The Provider |
MD |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Nurse Practitioner |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
34 |
Number Of Services |
1717 |
Number Of Medicare Beneficiaries |
262 |
Total Submitted Charge Amount |
222310 |
Total Medicare Allowed Amount |
93685.26 |
Total Medicare Payment Amount |
68742.86 |
Total Medicare Standardized Payment Amount |
78759.98 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
10 |
Number Of Drug Services |
106 |
Number Of Medicare Beneficiaries With Drug Services |
66 |
Total Drug Submitted ChargeAmount |
3978 |
Total Drug Medicare AllowedAmount |
2535.77 |
Total Drug Medicare PaymentAmount |
2254.09 |
Total Drug Medicare Standardized Payment Amount |
2254.09 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
24 |
Number Of Medical Services |
1611 |
Number Of Medicare Beneficiaries With Medical Services |
262 |
Total Medical Submitted Charge Amount |
218332 |
Total Medical Medicare Allowed Amount |
91149.49 |
Total Medical Medicare Payment Amount |
66488.77 |
Total Medical Medicare Standardized Payment Amount |
76505.89 |
Average Age Of Beneficiaries |
72 |
Number Of Beneficiaries Age Less65 |
23 |
Number Of Beneficiaries Age 65 to 74 |
142 |
Number Of Beneficiaries Age 75 to 84 |
77 |
Number Of Beneficiaries Age Greater 84 |
20 |
Number Of Female Beneficiaries |
163 |
Number Of Male Beneficiaries |
99 |
Number Of Non Hispanic White Beneficiaries |
243 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
243 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
19 |
Percent Of With Atrial Fibrillation |
9 |
Percent Of With Alzheimers Disease or Dementia |
5 |
Percent Of With Asthma |
5 |
Percent Of With Cancer |
12 |
Percent Of With Heart Failure |
10 |
Percent Of With Chronic Kidney Disease |
23 |
Percent Of With Chronic Obstructive Pulmonary Disease |
14 |
Percent Of With Depression |
18 |
Percent Of With Diabetes |
39 |
Percent Of With Hyperlipidemia |
72 |
Percent Of With Hypertension |
68 |
Percent Of With Ischemic Heart Disease |
29 |
Percent Of With Osteoporosis |
10 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
35 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
|
Average HCC Risk Score Of Beneficiaries |
0.9871 |