National Provider Identifier [NPI]: |
1245387422 |
Last Name Of The Provider |
BARTLE |
First Name Of The Provider |
JUDY |
Middle Initial Of The Provider |
A |
Credentials Of The Provider |
APRN, BC, FNPGNP |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1605 MARTIN SPRINGS DR |
Street Address 2 Of The Provider |
SUITE 320 |
City Of The Provider |
ROLLA |
Zip Code Of The Provider |
654012931 |
State Code Of The Provider |
MO |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Nurse Practitioner |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
36 |
Number Of Services |
3125 |
Number Of Medicare Beneficiaries |
261 |
Total Submitted Charge Amount |
181045 |
Total Medicare Allowed Amount |
60329.21 |
Total Medicare Payment Amount |
43384.54 |
Total Medicare Standardized Payment Amount |
49310.79 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
4 |
Number Of Drug Services |
2237 |
Number Of Medicare Beneficiaries With Drug Services |
147 |
Total Drug Submitted ChargeAmount |
49032 |
Total Drug Medicare AllowedAmount |
24334.02 |
Total Drug Medicare PaymentAmount |
18517.9 |
Total Drug Medicare Standardized Payment Amount |
18517.9 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
32 |
Number Of Medical Services |
888 |
Number Of Medicare Beneficiaries With Medical Services |
261 |
Total Medical Submitted Charge Amount |
132013 |
Total Medical Medicare Allowed Amount |
35995.19 |
Total Medical Medicare Payment Amount |
24866.64 |
Total Medical Medicare Standardized Payment Amount |
30792.89 |
Average Age Of Beneficiaries |
71 |
Number Of Beneficiaries Age Less65 |
62 |
Number Of Beneficiaries Age 65 to 74 |
90 |
Number Of Beneficiaries Age 75 to 84 |
70 |
Number Of Beneficiaries Age Greater 84 |
39 |
Number Of Female Beneficiaries |
176 |
Number Of Male Beneficiaries |
85 |
Number Of Non Hispanic White Beneficiaries |
|
Number Of Black or African American Beneficiaries |
|
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 |
177 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
84 |
Percent Of With Atrial Fibrillation |
10 |
Percent Of With Alzheimers Disease or Dementia |
10 |
Percent Of With Asthma |
10 |
Percent Of With Cancer |
8 |
Percent Of With Heart Failure |
23 |
Percent Of With Chronic Kidney Disease |
23 |
Percent Of With Chronic Obstructive Pulmonary Disease |
23 |
Percent Of With Depression |
39 |
Percent Of With Diabetes |
30 |
Percent Of With Hyperlipidemia |
55 |
Percent Of With Hypertension |
70 |
Percent Of With Ischemic Heart Disease |
37 |
Percent Of With Osteoporosis |
16 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
75 |
Percent Of With Schizophrenia Other PsychoticDisorders |
5 |
Percent Of With Stroke |
|
Average HCC Risk Score Of Beneficiaries |
1.3741 |