National Provider Identifier [NPI]: |
1083609473 |
Last Name Of The Provider |
CATERINA |
First Name Of The Provider |
NANCY |
Middle Initial Of The Provider |
C |
Credentials Of The Provider |
PH.D., PA-C |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
3493 VETERANS DR N |
Street Address 2 Of The Provider |
SUITE C |
City Of The Provider |
HUNTINGDON |
Zip Code Of The Provider |
383446227 |
State Code Of The Provider |
TN |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Physician Assistant |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
121 |
Number Of Services |
4379 |
Number Of Medicare Beneficiaries |
458 |
Total Submitted Charge Amount |
260363 |
Total Medicare Allowed Amount |
117565.1 |
Total Medicare Payment Amount |
86672.76 |
Total Medicare Standardized Payment Amount |
110158.39 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
17 |
Number Of Drug Services |
919 |
Number Of Medicare Beneficiaries With Drug Services |
163 |
Total Drug Submitted ChargeAmount |
15957 |
Total Drug Medicare AllowedAmount |
5205.04 |
Total Drug Medicare PaymentAmount |
4507.8 |
Total Drug Medicare Standardized Payment Amount |
4507.8 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
104 |
Number Of Medical Services |
3460 |
Number Of Medicare Beneficiaries With Medical Services |
458 |
Total Medical Submitted Charge Amount |
244406 |
Total Medical Medicare Allowed Amount |
112360.06 |
Total Medical Medicare Payment Amount |
82164.96 |
Total Medical Medicare Standardized Payment Amount |
105650.59 |
Average Age Of Beneficiaries |
72 |
Number Of Beneficiaries Age Less65 |
81 |
Number Of Beneficiaries Age 65 to 74 |
175 |
Number Of Beneficiaries Age 75 to 84 |
142 |
Number Of Beneficiaries Age Greater 84 |
60 |
Number Of Female Beneficiaries |
288 |
Number Of Male Beneficiaries |
170 |
Number Of Non Hispanic White Beneficiaries |
418 |
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 |
336 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
122 |
Percent Of With Atrial Fibrillation |
17 |
Percent Of With Alzheimers Disease or Dementia |
13 |
Percent Of With Asthma |
5 |
Percent Of With Cancer |
9 |
Percent Of With Heart Failure |
25 |
Percent Of With Chronic Kidney Disease |
20 |
Percent Of With Chronic Obstructive Pulmonary Disease |
18 |
Percent Of With Depression |
22 |
Percent Of With Diabetes |
30 |
Percent Of With Hyperlipidemia |
47 |
Percent Of With Hypertension |
68 |
Percent Of With Ischemic Heart Disease |
41 |
Percent Of With Osteoporosis |
8 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
44 |
Percent Of With Schizophrenia Other PsychoticDisorders |
6 |
Percent Of With Stroke |
3 |
Average HCC Risk Score Of Beneficiaries |
1.227 |