National Provider Identifier [NPI]: |
1851537286 |
Last Name Of The Provider |
MILLER |
First Name Of The Provider |
EMILY |
Middle Initial Of The Provider |
C |
Credentials Of The Provider |
APN |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
702 SHERRILL ST |
Street Address 2 Of The Provider |
STE B |
City Of The Provider |
UNION CITY |
Zip Code Of The Provider |
382615891 |
State Code Of The Provider |
TN |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Nurse Practitioner |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
62 |
Number Of Services |
1877 |
Number Of Medicare Beneficiaries |
337 |
Total Submitted Charge Amount |
102142.5 |
Total Medicare Allowed Amount |
62592.38 |
Total Medicare Payment Amount |
45005.65 |
Total Medicare Standardized Payment Amount |
57657.8 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
14 |
Number Of Drug Services |
781 |
Number Of Medicare Beneficiaries With Drug Services |
166 |
Total Drug Submitted ChargeAmount |
16860.5 |
Total Drug Medicare AllowedAmount |
4056.06 |
Total Drug Medicare PaymentAmount |
3494.58 |
Total Drug Medicare Standardized Payment Amount |
3494.58 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
48 |
Number Of Medical Services |
1096 |
Number Of Medicare Beneficiaries With Medical Services |
337 |
Total Medical Submitted Charge Amount |
85282 |
Total Medical Medicare Allowed Amount |
58536.32 |
Total Medical Medicare Payment Amount |
41511.07 |
Total Medical Medicare Standardized Payment Amount |
54163.22 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
39 |
Number Of Beneficiaries Age 65 to 74 |
166 |
Number Of Beneficiaries Age 75 to 84 |
88 |
Number Of Beneficiaries Age Greater 84 |
44 |
Number Of Female Beneficiaries |
221 |
Number Of Male Beneficiaries |
116 |
Number Of Non Hispanic White Beneficiaries |
324 |
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 |
290 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
47 |
Percent Of With Atrial Fibrillation |
9 |
Percent Of With Alzheimers Disease or Dementia |
11 |
Percent Of With Asthma |
|
Percent Of With Cancer |
8 |
Percent Of With Heart Failure |
18 |
Percent Of With Chronic Kidney Disease |
24 |
Percent Of With Chronic Obstructive Pulmonary Disease |
18 |
Percent Of With Depression |
30 |
Percent Of With Diabetes |
36 |
Percent Of With Hyperlipidemia |
55 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
36 |
Percent Of With Osteoporosis |
8 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
43 |
Percent Of With Schizophrenia Other PsychoticDisorders |
4 |
Percent Of With Stroke |
4 |
Average HCC Risk Score Of Beneficiaries |
1.1596 |