National Provider Identifier [NPI]: |
1164410171 |
Last Name Of The Provider |
SIMPSON |
First Name Of The Provider |
JOANN |
Middle Initial Of The Provider |
F |
Credentials Of The Provider |
NP |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
3450 FRANK PHILLIPS |
Street Address 2 Of The Provider |
SUITE 400 |
City Of The Provider |
BARTLESVILLE |
Zip Code Of The Provider |
74006 |
State Code Of The Provider |
OK |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Nurse Practitioner |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
39 |
Number Of Services |
2044 |
Number Of Medicare Beneficiaries |
634 |
Total Submitted Charge Amount |
200002 |
Total Medicare Allowed Amount |
79146.07 |
Total Medicare Payment Amount |
51092.16 |
Total Medicare Standardized Payment Amount |
68466.07 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
13 |
Number Of Drug Services |
409 |
Number Of Medicare Beneficiaries With Drug Services |
78 |
Total Drug Submitted ChargeAmount |
2600 |
Total Drug Medicare AllowedAmount |
760.97 |
Total Drug Medicare PaymentAmount |
512.14 |
Total Drug Medicare Standardized Payment Amount |
512.14 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
26 |
Number Of Medical Services |
1635 |
Number Of Medicare Beneficiaries With Medical Services |
634 |
Total Medical Submitted Charge Amount |
197402 |
Total Medical Medicare Allowed Amount |
78385.1 |
Total Medical Medicare Payment Amount |
50580.02 |
Total Medical Medicare Standardized Payment Amount |
67953.93 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
61 |
Number Of Beneficiaries Age 65 to 74 |
315 |
Number Of Beneficiaries Age 75 to 84 |
173 |
Number Of Beneficiaries Age Greater 84 |
85 |
Number Of Female Beneficiaries |
429 |
Number Of Male Beneficiaries |
205 |
Number Of Non Hispanic White Beneficiaries |
586 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
28 |
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
559 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
75 |
Percent Of With Atrial Fibrillation |
10 |
Percent Of With Alzheimers Disease or Dementia |
8 |
Percent Of With Asthma |
8 |
Percent Of With Cancer |
8 |
Percent Of With Heart Failure |
11 |
Percent Of With Chronic Kidney Disease |
13 |
Percent Of With Chronic Obstructive Pulmonary Disease |
11 |
Percent Of With Depression |
21 |
Percent Of With Diabetes |
31 |
Percent Of With Hyperlipidemia |
56 |
Percent Of With Hypertension |
69 |
Percent Of With Ischemic Heart Disease |
26 |
Percent Of With Osteoporosis |
5 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
39 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
3 |
Average HCC Risk Score Of Beneficiaries |
0.9171 |