National Provider Identifier [NPI]: |
1134355365 |
Last Name Of The Provider |
EARP |
First Name Of The Provider |
EMMY |
Middle Initial Of The Provider |
C |
Credentials Of The Provider |
M.D |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
6600 EXCELSIOR BLVD STE 160 |
Street Address 2 Of The Provider |
|
City Of The Provider |
ST LOUIS PARK |
Zip Code Of The Provider |
554264713 |
State Code Of The Provider |
MN |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Family Practice |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
37 |
Number Of Services |
625 |
Number Of Medicare Beneficiaries |
140 |
Total Submitted Charge Amount |
63716.75 |
Total Medicare Allowed Amount |
28198.06 |
Total Medicare Payment Amount |
20499.8 |
Total Medicare Standardized Payment Amount |
21215.57 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
6 |
Number Of Drug Services |
148 |
Number Of Medicare Beneficiaries With Drug Services |
22 |
Total Drug Submitted ChargeAmount |
2762 |
Total Drug Medicare AllowedAmount |
1325.32 |
Total Drug Medicare PaymentAmount |
1114.22 |
Total Drug Medicare Standardized Payment Amount |
1114.22 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
31 |
Number Of Medical Services |
477 |
Number Of Medicare Beneficiaries With Medical Services |
140 |
Total Medical Submitted Charge Amount |
60954.75 |
Total Medical Medicare Allowed Amount |
26872.74 |
Total Medical Medicare Payment Amount |
19385.58 |
Total Medical Medicare Standardized Payment Amount |
20101.35 |
Average Age Of Beneficiaries |
70 |
Number Of Beneficiaries Age Less65 |
33 |
Number Of Beneficiaries Age 65 to 74 |
48 |
Number Of Beneficiaries Age 75 to 84 |
39 |
Number Of Beneficiaries Age Greater 84 |
20 |
Number Of Female Beneficiaries |
99 |
Number Of Male Beneficiaries |
41 |
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 |
109 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
31 |
Percent Of With Atrial Fibrillation |
10 |
Percent Of With Alzheimers Disease or Dementia |
19 |
Percent Of With Asthma |
15 |
Percent Of With Cancer |
9 |
Percent Of With Heart Failure |
19 |
Percent Of With Chronic Kidney Disease |
24 |
Percent Of With Chronic Obstructive Pulmonary Disease |
9 |
Percent Of With Depression |
41 |
Percent Of With Diabetes |
26 |
Percent Of With Hyperlipidemia |
46 |
Percent Of With Hypertension |
57 |
Percent Of With Ischemic Heart Disease |
25 |
Percent Of With Osteoporosis |
11 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
31 |
Percent Of With Schizophrenia Other PsychoticDisorders |
11 |
Percent Of With Stroke |
|
Average HCC Risk Score Of Beneficiaries |
1.4048 |