National Provider Identifier [NPI]: |
1922013531 |
Last Name Of The Provider |
MORGAN |
First Name Of The Provider |
HEATHER |
Middle Initial Of The Provider |
M |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
16909 LAKESIDE HILLS CT |
Street Address 2 Of The Provider |
SUITE 300 |
City Of The Provider |
OMAHA |
Zip Code Of The Provider |
681304664 |
State Code Of The Provider |
NE |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Family Practice |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
34 |
Number Of Services |
2225 |
Number Of Medicare Beneficiaries |
541 |
Total Submitted Charge Amount |
349151 |
Total Medicare Allowed Amount |
166930.04 |
Total Medicare Payment Amount |
122798.21 |
Total Medicare Standardized Payment Amount |
131939.16 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
9 |
Number Of Drug Services |
241 |
Number Of Medicare Beneficiaries With Drug Services |
151 |
Total Drug Submitted ChargeAmount |
13865 |
Total Drug Medicare AllowedAmount |
7160.39 |
Total Drug Medicare PaymentAmount |
6957.01 |
Total Drug Medicare Standardized Payment Amount |
6957.01 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
25 |
Number Of Medical Services |
1984 |
Number Of Medicare Beneficiaries With Medical Services |
541 |
Total Medical Submitted Charge Amount |
335286 |
Total Medical Medicare Allowed Amount |
159769.65 |
Total Medical Medicare Payment Amount |
115841.2 |
Total Medical Medicare Standardized Payment Amount |
124982.15 |
Average Age Of Beneficiaries |
79 |
Number Of Beneficiaries Age Less65 |
15 |
Number Of Beneficiaries Age 65 to 74 |
193 |
Number Of Beneficiaries Age 75 to 84 |
159 |
Number Of Beneficiaries Age Greater 84 |
174 |
Number Of Female Beneficiaries |
398 |
Number Of Male Beneficiaries |
143 |
Number Of Non Hispanic White Beneficiaries |
525 |
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 |
512 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
29 |
Percent Of With Atrial Fibrillation |
16 |
Percent Of With Alzheimers Disease or Dementia |
28 |
Percent Of With Asthma |
5 |
Percent Of With Cancer |
8 |
Percent Of With Heart Failure |
16 |
Percent Of With Chronic Kidney Disease |
25 |
Percent Of With Chronic Obstructive Pulmonary Disease |
15 |
Percent Of With Depression |
28 |
Percent Of With Diabetes |
23 |
Percent Of With Hyperlipidemia |
50 |
Percent Of With Hypertension |
66 |
Percent Of With Ischemic Heart Disease |
31 |
Percent Of With Osteoporosis |
12 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
42 |
Percent Of With Schizophrenia Other PsychoticDisorders |
8 |
Percent Of With Stroke |
6 |
Average HCC Risk Score Of Beneficiaries |
1.0958 |