National Provider Identifier [NPI]: |
1821016858 |
Last Name Of The Provider |
CONANT |
First Name Of The Provider |
JENNIFER |
Middle Initial Of The Provider |
L |
Credentials Of The Provider |
ARNP |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1555 US HIGHWAY 1 |
Street Address 2 Of The Provider |
SUITE 105 |
City Of The Provider |
VERO BEACH |
Zip Code Of The Provider |
329604727 |
State Code Of The Provider |
FL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Nurse Practitioner |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
55 |
Number Of Services |
713 |
Number Of Medicare Beneficiaries |
445 |
Total Submitted Charge Amount |
227246.16 |
Total Medicare Allowed Amount |
51038.09 |
Total Medicare Payment Amount |
34490.91 |
Total Medicare Standardized Payment Amount |
39221.64 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
10 |
Number Of Drug Services |
48 |
Number Of Medicare Beneficiaries With Drug Services |
37 |
Total Drug Submitted ChargeAmount |
1412.56 |
Total Drug Medicare AllowedAmount |
226.3 |
Total Drug Medicare PaymentAmount |
172.52 |
Total Drug Medicare Standardized Payment Amount |
172.52 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
45 |
Number Of Medical Services |
665 |
Number Of Medicare Beneficiaries With Medical Services |
445 |
Total Medical Submitted Charge Amount |
225833.6 |
Total Medical Medicare Allowed Amount |
50811.79 |
Total Medical Medicare Payment Amount |
34318.39 |
Total Medical Medicare Standardized Payment Amount |
39049.12 |
Average Age Of Beneficiaries |
72 |
Number Of Beneficiaries Age Less65 |
51 |
Number Of Beneficiaries Age 65 to 74 |
222 |
Number Of Beneficiaries Age 75 to 84 |
126 |
Number Of Beneficiaries Age Greater 84 |
46 |
Number Of Female Beneficiaries |
291 |
Number Of Male Beneficiaries |
154 |
Number Of Non Hispanic White Beneficiaries |
412 |
Number Of Black or African American Beneficiaries |
13 |
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 |
412 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
33 |
Percent Of With Atrial Fibrillation |
11 |
Percent Of With Alzheimers Disease or Dementia |
7 |
Percent Of With Asthma |
9 |
Percent Of With Cancer |
10 |
Percent Of With Heart Failure |
10 |
Percent Of With Chronic Kidney Disease |
18 |
Percent Of With Chronic Obstructive Pulmonary Disease |
17 |
Percent Of With Depression |
20 |
Percent Of With Diabetes |
25 |
Percent Of With Hyperlipidemia |
61 |
Percent Of With Hypertension |
66 |
Percent Of With Ischemic Heart Disease |
34 |
Percent Of With Osteoporosis |
9 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
40 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
6 |
Average HCC Risk Score Of Beneficiaries |
0.9959 |