National Provider Identifier [NPI]: |
1851318539 |
Last Name Of The Provider |
CANDLER |
First Name Of The Provider |
JUDY |
Middle Initial Of The Provider |
L |
Credentials Of The Provider |
MSN, GNP |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
200 N VIRGINIA ST |
Street Address 2 Of The Provider |
|
City Of The Provider |
TERRELL |
Zip Code Of The Provider |
751602732 |
State Code Of The Provider |
TX |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Nurse Practitioner |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
51 |
Number Of Services |
2978 |
Number Of Medicare Beneficiaries |
613 |
Total Submitted Charge Amount |
260780.4 |
Total Medicare Allowed Amount |
133806.75 |
Total Medicare Payment Amount |
91815.43 |
Total Medicare Standardized Payment Amount |
114931.62 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
15 |
Number Of Drug Services |
454 |
Number Of Medicare Beneficiaries With Drug Services |
249 |
Total Drug Submitted ChargeAmount |
13073.8 |
Total Drug Medicare AllowedAmount |
8275.16 |
Total Drug Medicare PaymentAmount |
7902.08 |
Total Drug Medicare Standardized Payment Amount |
7902.08 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
36 |
Number Of Medical Services |
2524 |
Number Of Medicare Beneficiaries With Medical Services |
613 |
Total Medical Submitted Charge Amount |
247706.6 |
Total Medical Medicare Allowed Amount |
125531.59 |
Total Medical Medicare Payment Amount |
83913.35 |
Total Medical Medicare Standardized Payment Amount |
107029.54 |
Average Age Of Beneficiaries |
76 |
Number Of Beneficiaries Age Less65 |
16 |
Number Of Beneficiaries Age 65 to 74 |
284 |
Number Of Beneficiaries Age 75 to 84 |
220 |
Number Of Beneficiaries Age Greater 84 |
93 |
Number Of Female Beneficiaries |
373 |
Number Of Male Beneficiaries |
240 |
Number Of Non Hispanic White Beneficiaries |
591 |
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 |
594 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
19 |
Percent Of With Atrial Fibrillation |
9 |
Percent Of With Alzheimers Disease or Dementia |
7 |
Percent Of With Asthma |
3 |
Percent Of With Cancer |
7 |
Percent Of With Heart Failure |
13 |
Percent Of With Chronic Kidney Disease |
22 |
Percent Of With Chronic Obstructive Pulmonary Disease |
10 |
Percent Of With Depression |
19 |
Percent Of With Diabetes |
30 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
34 |
Percent Of With Osteoporosis |
7 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
31 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
3 |
Average HCC Risk Score Of Beneficiaries |
0.9564 |