National Provider Identifier [NPI]: |
1215964168 |
Last Name Of The Provider |
TALARICO |
First Name Of The Provider |
JOANNE |
Middle Initial Of The Provider |
R |
Credentials Of The Provider |
ARNP |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1301 2ND AVE SW |
Street Address 2 Of The Provider |
|
City Of The Provider |
LARGO |
Zip Code Of The Provider |
337703120 |
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 |
20 |
Number Of Services |
423 |
Number Of Medicare Beneficiaries |
232 |
Total Submitted Charge Amount |
36194 |
Total Medicare Allowed Amount |
22541 |
Total Medicare Payment Amount |
16592.39 |
Total Medicare Standardized Payment Amount |
19808.55 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
9 |
Number Of Drug Services |
42 |
Number Of Medicare Beneficiaries With Drug Services |
19 |
Total Drug Submitted ChargeAmount |
897 |
Total Drug Medicare AllowedAmount |
333.82 |
Total Drug Medicare PaymentAmount |
283.31 |
Total Drug Medicare Standardized Payment Amount |
283.31 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
11 |
Number Of Medical Services |
381 |
Number Of Medicare Beneficiaries With Medical Services |
232 |
Total Medical Submitted Charge Amount |
35297 |
Total Medical Medicare Allowed Amount |
22207.18 |
Total Medical Medicare Payment Amount |
16309.08 |
Total Medical Medicare Standardized Payment Amount |
19525.24 |
Average Age Of Beneficiaries |
78 |
Number Of Beneficiaries Age Less65 |
13 |
Number Of Beneficiaries Age 65 to 74 |
74 |
Number Of Beneficiaries Age 75 to 84 |
79 |
Number Of Beneficiaries Age Greater 84 |
66 |
Number Of Female Beneficiaries |
136 |
Number Of Male Beneficiaries |
96 |
Number Of Non Hispanic White Beneficiaries |
220 |
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 |
215 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
17 |
Percent Of With Atrial Fibrillation |
19 |
Percent Of With Alzheimers Disease or Dementia |
24 |
Percent Of With Asthma |
8 |
Percent Of With Cancer |
14 |
Percent Of With Heart Failure |
19 |
Percent Of With Chronic Kidney Disease |
63 |
Percent Of With Chronic Obstructive Pulmonary Disease |
23 |
Percent Of With Depression |
28 |
Percent Of With Diabetes |
27 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
43 |
Percent Of With Osteoporosis |
17 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
45 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
9 |
Average HCC Risk Score Of Beneficiaries |
1.5555 |