National Provider Identifier [NPI]: |
1891027249 |
Last Name Of The Provider |
SINGLETON |
First Name Of The Provider |
ELLEN |
Middle Initial Of The Provider |
L |
Credentials Of The Provider |
CRNP |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
951 US HIGHWAY 80 W |
Street Address 2 Of The Provider |
|
City Of The Provider |
DEMOPOLIS |
Zip Code Of The Provider |
367324156 |
State Code Of The Provider |
AL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Nurse Practitioner |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
85 |
Number Of Services |
7381 |
Number Of Medicare Beneficiaries |
605 |
Total Submitted Charge Amount |
208587.7 |
Total Medicare Allowed Amount |
135151.33 |
Total Medicare Payment Amount |
96329.95 |
Total Medicare Standardized Payment Amount |
123101.45 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
10 |
Number Of Drug Services |
3876 |
Number Of Medicare Beneficiaries With Drug Services |
316 |
Total Drug Submitted ChargeAmount |
9664.7 |
Total Drug Medicare AllowedAmount |
4005.99 |
Total Drug Medicare PaymentAmount |
3101.42 |
Total Drug Medicare Standardized Payment Amount |
3101.42 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
75 |
Number Of Medical Services |
3505 |
Number Of Medicare Beneficiaries With Medical Services |
605 |
Total Medical Submitted Charge Amount |
198923 |
Total Medical Medicare Allowed Amount |
131145.34 |
Total Medical Medicare Payment Amount |
93228.53 |
Total Medical Medicare Standardized Payment Amount |
120000.03 |
Average Age Of Beneficiaries |
65 |
Number Of Beneficiaries Age Less65 |
258 |
Number Of Beneficiaries Age 65 to 74 |
207 |
Number Of Beneficiaries Age 75 to 84 |
102 |
Number Of Beneficiaries Age Greater 84 |
38 |
Number Of Female Beneficiaries |
386 |
Number Of Male Beneficiaries |
219 |
Number Of Non Hispanic White Beneficiaries |
|
Number Of Black or African American Beneficiaries |
405 |
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 |
298 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
307 |
Percent Of With Atrial Fibrillation |
6 |
Percent Of With Alzheimers Disease or Dementia |
6 |
Percent Of With Asthma |
8 |
Percent Of With Cancer |
7 |
Percent Of With Heart Failure |
28 |
Percent Of With Chronic Kidney Disease |
17 |
Percent Of With Chronic Obstructive Pulmonary Disease |
16 |
Percent Of With Depression |
19 |
Percent Of With Diabetes |
45 |
Percent Of With Hyperlipidemia |
58 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
32 |
Percent Of With Osteoporosis |
|
Percent Of With Rheumatoid Arthritis Osteoarthritis |
38 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
2 |
Average HCC Risk Score Of Beneficiaries |
1.1765 |