National Provider Identifier [NPI]: |
1023057106 |
Last Name Of The Provider |
MERRICK |
First Name Of The Provider |
HELEN |
Middle Initial Of The Provider |
A |
Credentials Of The Provider |
APRN, BC |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
20251 JOHN J WILLIAMS HWY |
Street Address 2 Of The Provider |
|
City Of The Provider |
LEWES |
Zip Code Of The Provider |
199584314 |
State Code Of The Provider |
DE |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Nurse Practitioner |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
33 |
Number Of Services |
1773 |
Number Of Medicare Beneficiaries |
955 |
Total Submitted Charge Amount |
159735 |
Total Medicare Allowed Amount |
123721.29 |
Total Medicare Payment Amount |
85443.15 |
Total Medicare Standardized Payment Amount |
100816.88 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
6 |
Number Of Drug Services |
50 |
Number Of Medicare Beneficiaries With Drug Services |
27 |
Total Drug Submitted ChargeAmount |
1061 |
Total Drug Medicare AllowedAmount |
383.24 |
Total Drug Medicare PaymentAmount |
305.17 |
Total Drug Medicare Standardized Payment Amount |
305.17 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
27 |
Number Of Medical Services |
1723 |
Number Of Medicare Beneficiaries With Medical Services |
955 |
Total Medical Submitted Charge Amount |
158674 |
Total Medical Medicare Allowed Amount |
123338.05 |
Total Medical Medicare Payment Amount |
85137.98 |
Total Medical Medicare Standardized Payment Amount |
100511.71 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
67 |
Number Of Beneficiaries Age 65 to 74 |
511 |
Number Of Beneficiaries Age 75 to 84 |
295 |
Number Of Beneficiaries Age Greater 84 |
82 |
Number Of Female Beneficiaries |
608 |
Number Of Male Beneficiaries |
347 |
Number Of Non Hispanic White Beneficiaries |
914 |
Number Of Black or African American Beneficiaries |
22 |
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 |
884 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
71 |
Percent Of With Atrial Fibrillation |
11 |
Percent Of With Alzheimers Disease or Dementia |
9 |
Percent Of With Asthma |
5 |
Percent Of With Cancer |
10 |
Percent Of With Heart Failure |
8 |
Percent Of With Chronic Kidney Disease |
15 |
Percent Of With Chronic Obstructive Pulmonary Disease |
10 |
Percent Of With Depression |
14 |
Percent Of With Diabetes |
25 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
68 |
Percent Of With Ischemic Heart Disease |
30 |
Percent Of With Osteoporosis |
6 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
39 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
0.93 |