National Provider Identifier [NPI]: |
1245284553 |
Last Name Of The Provider |
TURNER |
First Name Of The Provider |
JENNIFER |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
MD |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
3383 N MANA CT STE 102 |
Street Address 2 Of The Provider |
|
City Of The Provider |
FAYETTEVILLE |
Zip Code Of The Provider |
727034965 |
State Code Of The Provider |
AR |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Diagnostic Radiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
73 |
Number Of Services |
21681 |
Number Of Medicare Beneficiaries |
1368 |
Total Submitted Charge Amount |
664781.5 |
Total Medicare Allowed Amount |
256293.98 |
Total Medicare Payment Amount |
191902 |
Total Medicare Standardized Payment Amount |
214994.78 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
19300 |
Number Of Medicare Beneficiaries With Drug Services |
182 |
Total Drug Submitted ChargeAmount |
10655.5 |
Total Drug Medicare AllowedAmount |
3647.76 |
Total Drug Medicare PaymentAmount |
2679.95 |
Total Drug Medicare Standardized Payment Amount |
2679.95 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
71 |
Number Of Medical Services |
2381 |
Number Of Medicare Beneficiaries With Medical Services |
1367 |
Total Medical Submitted Charge Amount |
654126 |
Total Medical Medicare Allowed Amount |
252646.22 |
Total Medical Medicare Payment Amount |
189222.05 |
Total Medical Medicare Standardized Payment Amount |
212314.83 |
Average Age Of Beneficiaries |
71 |
Number Of Beneficiaries Age Less65 |
212 |
Number Of Beneficiaries Age 65 to 74 |
666 |
Number Of Beneficiaries Age 75 to 84 |
397 |
Number Of Beneficiaries Age Greater 84 |
93 |
Number Of Female Beneficiaries |
876 |
Number Of Male Beneficiaries |
492 |
Number Of Non Hispanic White Beneficiaries |
1309 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
16 |
Number Of American Indian Alaska Native Beneficiaries |
19 |
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
1171 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
197 |
Percent Of With Atrial Fibrillation |
12 |
Percent Of With Alzheimers Disease or Dementia |
6 |
Percent Of With Asthma |
10 |
Percent Of With Cancer |
33 |
Percent Of With Heart Failure |
18 |
Percent Of With Chronic Kidney Disease |
19 |
Percent Of With Chronic Obstructive Pulmonary Disease |
27 |
Percent Of With Depression |
23 |
Percent Of With Diabetes |
26 |
Percent Of With Hyperlipidemia |
42 |
Percent Of With Hypertension |
63 |
Percent Of With Ischemic Heart Disease |
35 |
Percent Of With Osteoporosis |
10 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
35 |
Percent Of With Schizophrenia Other PsychoticDisorders |
2 |
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
1.498 |