National Provider Identifier [NPI]: |
1033268768 |
Last Name Of The Provider |
JOHNMEYER-SCHUTTE |
First Name Of The Provider |
ERMA |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
RN,C.S.,F.N.P. |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
321 W PROMENADE ST |
Street Address 2 Of The Provider |
|
City Of The Provider |
MEXICO |
Zip Code Of The Provider |
652652719 |
State Code Of The Provider |
MO |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Nurse Practitioner |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
44 |
Number Of Services |
733 |
Number Of Medicare Beneficiaries |
317 |
Total Submitted Charge Amount |
71284.76 |
Total Medicare Allowed Amount |
39973.82 |
Total Medicare Payment Amount |
28521.28 |
Total Medicare Standardized Payment Amount |
37118.23 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
5 |
Number Of Drug Services |
27 |
Number Of Medicare Beneficiaries With Drug Services |
22 |
Total Drug Submitted ChargeAmount |
470 |
Total Drug Medicare AllowedAmount |
326.17 |
Total Drug Medicare PaymentAmount |
309.95 |
Total Drug Medicare Standardized Payment Amount |
309.95 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
39 |
Number Of Medical Services |
706 |
Number Of Medicare Beneficiaries With Medical Services |
317 |
Total Medical Submitted Charge Amount |
70814.76 |
Total Medical Medicare Allowed Amount |
39647.65 |
Total Medical Medicare Payment Amount |
28211.33 |
Total Medical Medicare Standardized Payment Amount |
36808.28 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
28 |
Number Of Beneficiaries Age 65 to 74 |
133 |
Number Of Beneficiaries Age 75 to 84 |
107 |
Number Of Beneficiaries Age Greater 84 |
49 |
Number Of Female Beneficiaries |
190 |
Number Of Male Beneficiaries |
127 |
Number Of Non Hispanic White Beneficiaries |
303 |
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 |
291 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
26 |
Percent Of With Atrial Fibrillation |
12 |
Percent Of With Alzheimers Disease or Dementia |
9 |
Percent Of With Asthma |
7 |
Percent Of With Cancer |
14 |
Percent Of With Heart Failure |
16 |
Percent Of With Chronic Kidney Disease |
11 |
Percent Of With Chronic Obstructive Pulmonary Disease |
17 |
Percent Of With Depression |
20 |
Percent Of With Diabetes |
32 |
Percent Of With Hyperlipidemia |
59 |
Percent Of With Hypertension |
70 |
Percent Of With Ischemic Heart Disease |
45 |
Percent Of With Osteoporosis |
15 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
50 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
6 |
Average HCC Risk Score Of Beneficiaries |
0.9688 |