National Provider Identifier [NPI]: |
1093759862 |
Last Name Of The Provider |
LEDFORD |
First Name Of The Provider |
WILLIAM |
Middle Initial Of The Provider |
A |
Credentials Of The Provider |
FNP |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
6700 W 9TH AVE |
Street Address 2 Of The Provider |
|
City Of The Provider |
AMARILLO |
Zip Code Of The Provider |
791061729 |
State Code Of The Provider |
TX |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Nurse Practitioner |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
98 |
Number Of Services |
7986 |
Number Of Medicare Beneficiaries |
764 |
Total Submitted Charge Amount |
622635.31 |
Total Medicare Allowed Amount |
282087.21 |
Total Medicare Payment Amount |
221843.05 |
Total Medicare Standardized Payment Amount |
265199.27 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
7 |
Number Of Drug Services |
94 |
Number Of Medicare Beneficiaries With Drug Services |
50 |
Total Drug Submitted ChargeAmount |
4188.1 |
Total Drug Medicare AllowedAmount |
1994.18 |
Total Drug Medicare PaymentAmount |
1921.21 |
Total Drug Medicare Standardized Payment Amount |
1921.21 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
91 |
Number Of Medical Services |
7892 |
Number Of Medicare Beneficiaries With Medical Services |
764 |
Total Medical Submitted Charge Amount |
618447.21 |
Total Medical Medicare Allowed Amount |
280093.03 |
Total Medical Medicare Payment Amount |
219921.84 |
Total Medical Medicare Standardized Payment Amount |
263278.06 |
Average Age Of Beneficiaries |
72 |
Number Of Beneficiaries Age Less65 |
152 |
Number Of Beneficiaries Age 65 to 74 |
236 |
Number Of Beneficiaries Age 75 to 84 |
263 |
Number Of Beneficiaries Age Greater 84 |
113 |
Number Of Female Beneficiaries |
415 |
Number Of Male Beneficiaries |
349 |
Number Of Non Hispanic White Beneficiaries |
635 |
Number Of Black or African American Beneficiaries |
36 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
80 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
571 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
193 |
Percent Of With Atrial Fibrillation |
14 |
Percent Of With Alzheimers Disease or Dementia |
15 |
Percent Of With Asthma |
10 |
Percent Of With Cancer |
9 |
Percent Of With Heart Failure |
35 |
Percent Of With Chronic Kidney Disease |
43 |
Percent Of With Chronic Obstructive Pulmonary Disease |
24 |
Percent Of With Depression |
35 |
Percent Of With Diabetes |
46 |
Percent Of With Hyperlipidemia |
64 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
51 |
Percent Of With Osteoporosis |
12 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
54 |
Percent Of With Schizophrenia Other PsychoticDisorders |
7 |
Percent Of With Stroke |
7 |
Average HCC Risk Score Of Beneficiaries |
2.09 |