National Provider Identifier [NPI]: |
1376795849 |
Last Name Of The Provider |
MOYER |
First Name Of The Provider |
JOSHUA |
Middle Initial Of The Provider |
A |
Credentials Of The Provider |
APN |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
8020 W SAHARA AVE |
Street Address 2 Of The Provider |
SUITE 210 |
City Of The Provider |
LAS VEGAS |
Zip Code Of The Provider |
891177939 |
State Code Of The Provider |
NV |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Nurse Practitioner |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
24 |
Number Of Services |
2358 |
Number Of Medicare Beneficiaries |
490 |
Total Submitted Charge Amount |
561876.13 |
Total Medicare Allowed Amount |
254784.05 |
Total Medicare Payment Amount |
198225.77 |
Total Medicare Standardized Payment Amount |
228716.23 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
0 |
Number Of Drug Services |
0 |
Number Of Medicare Beneficiaries With Drug Services |
0 |
Total Drug Submitted ChargeAmount |
0 |
Total Drug Medicare AllowedAmount |
0 |
Total Drug Medicare PaymentAmount |
0 |
Total Drug Medicare Standardized Payment Amount |
0 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
24 |
Number Of Medical Services |
2358 |
Number Of Medicare Beneficiaries With Medical Services |
490 |
Total Medical Submitted Charge Amount |
561876.13 |
Total Medical Medicare Allowed Amount |
254784.05 |
Total Medical Medicare Payment Amount |
198225.77 |
Total Medical Medicare Standardized Payment Amount |
228716.23 |
Average Age Of Beneficiaries |
69 |
Number Of Beneficiaries Age Less65 |
154 |
Number Of Beneficiaries Age 65 to 74 |
136 |
Number Of Beneficiaries Age 75 to 84 |
129 |
Number Of Beneficiaries Age Greater 84 |
71 |
Number Of Female Beneficiaries |
257 |
Number Of Male Beneficiaries |
233 |
Number Of Non Hispanic White Beneficiaries |
288 |
Number Of Black or African American Beneficiaries |
101 |
Number Of AsianPacific Islander Beneficiaries |
33 |
Number Of Hispanic Beneficiaries |
51 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
273 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
217 |
Percent Of With Atrial Fibrillation |
14 |
Percent Of With Alzheimers Disease or Dementia |
36 |
Percent Of With Asthma |
12 |
Percent Of With Cancer |
9 |
Percent Of With Heart Failure |
37 |
Percent Of With Chronic Kidney Disease |
45 |
Percent Of With Chronic Obstructive Pulmonary Disease |
36 |
Percent Of With Depression |
45 |
Percent Of With Diabetes |
55 |
Percent Of With Hyperlipidemia |
58 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
52 |
Percent Of With Osteoporosis |
7 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
53 |
Percent Of With Schizophrenia Other PsychoticDisorders |
18 |
Percent Of With Stroke |
31 |
Average HCC Risk Score Of Beneficiaries |
2.4017 |